ArticlePloS one2016
Optimal Timing of Delivery among Low-Risk Women with Prior Caesarean Section: A Secondary Analysis of the WHO Multicountry Survey on Maternal and Newborn Health.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries: A systematic review.Journal of global health · 2021Pooled it
- Pediatrics Consequences of Caesarean Section-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Timing of planned cesarean delivery among patients with two previous cesarean sections.Archives of gynecology and obstetrics · 2024Article
- Risk factors of transient tachypnea of the newborn developing into pulmonary hypertension of the newborn: a case-control study.Asian biomedicine : research, reviews and news · 2022Article
- Characteristics and Outcomes Associated with Cesarean Birth as Compared to Vaginal Birth at Mizan-Tepi University Teaching Hospital, Ethiopia.Journal of women's health and development · 2021Article
- Timing of term elective cesarean section and adverse neonatal outcomes: A multi-center retrospective cohort study.PloS one · 2021Article
- Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil.BMJ open · 2017Article
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Authors and funding
12 authors.
Funding
Abstract
objectiveTo investigate optimal timing of elective repeat caesarean section among low-risk pregnant women with prior caesarean section in a multicountry sample from largely low- and middle-income countries.
designSecondary analysis of a cross-sectional study.
settingTwenty-nine countries from the World Health Organization Multicountry Survey on Maternal and Newborn Health. POPULATION: 29,647 women with prior caesarean section and no pregnancy complications in their current pregnancy who delivered a term singleton (live birth and stillbirth) at gestational age 37-41 weeks by pre-labour caesarean section, intra-partum caesarean section, or vaginal birth following spontaneous onset of labour.
methodsWe compared the rate of short-term adverse maternal and newborn outcomes following pre-labour caesarean section at a given gestational age, to those following ongoing pregnancies beyond that gestational age.
main outcome measuresSevere maternal outcomes, neonatal morbidity, and intra-hospital early neonatal mortality.
resultsOdds of neonatal morbidity and intra-hospital early neonatal mortality were 0.48 (95% confidence interval [CI] 0.39-0.60) and 0.31 (95% CI 0.16-0.58) times lower for ongoing pregnancies compared to pre-labour caesarean section at 37 weeks. We did not find any significant change in the risk of severe maternal outcomes between pre-labour caesarean section at a given gestational age and ongoing pregnancies beyond that gestational age.
conclusionsElective repeat caesarean section at 37 weeks had higher risk of neonatal morbidity and mortality compared to ongoing pregnancy, however risks at later gestational ages did not differ between groups.
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