Impact of elective caesarean section on neonatal retrieval in Western Australia during a 12-year period View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-10-19

AUTHORS

Kathryn J. Macallister, Lye W. Tho, Mathias Epee-Bekima, Steven Resnick, Jonathan W. Davis

ABSTRACT

OBJECTIVE: To determine whether 2006 Australian national guidance to delay elective caesarean section until 39 weeks' gestation would reduce the need for neonatal retrieval for respiratory compromise following elective caesarean. STUDY DESIGN: This is a retrospective cohort study comparing infants born by elective caesarean section who required retrieval for respiratory distress in Western Australia before and after the national guidance (2003-2006 vs. 2008-2014). RESULTS: The proportion of infants born by elective caesarean section who required retrieval for respiratory distress was reduced in the later cohort (0.77% (153/19 780) vs. 0.55% (227/40 875); p = 0.0012). The diagnosis of surfactant-deficient lung disease amongst retrieved infants was also reduced (26% (40/153) vs. 17.4% (40/227); p = 0.04). CONCLUSION: A reduction in the proportion of elective caesarean sections before 39 weeks in Western Australia was associated with a reduction in retrieval for respiratory compromise related to surfactant deficiency in infants born by elective caesarean section. More... »

PAGES

1-5

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URI

http://scigraph.springernature.com/pub.10.1038/s41372-018-0263-z

DOI

http://dx.doi.org/10.1038/s41372-018-0263-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107708816

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30341400


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