Evidence map›Paper›PMID 33819296›Full record

ArticlePloS one2021

Timing of term elective cesarean section and adverse neonatal outcomes: A multi-center retrospective cohort study.

Ayah Al Bizri, Nansi S Boghossian, Anwar Nassar, Pascale Nakad, Dina Jaber, Rabih Chahine, Gaby Fallakha, Ghaith Makhoul, Khalid Yunis

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ayah Al BizriDepartment Pediatrics and Adolescent Medicine, National Collaborative Perinatal Neonatal Network, American University of Beirut Medical Center, Beirut, Lebanon.
Nansi S BoghossianDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.
Anwar NassarDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Pascale NakadDepartment Pediatrics and Adolescent Medicine, National Collaborative Perinatal Neonatal Network, American University of Beirut Medical Center, Beirut, Lebanon.
Dina JaberDepartment Pediatrics and Adolescent Medicine, National Collaborative Perinatal Neonatal Network, American University of Beirut Medical Center, Beirut, Lebanon.
Rabih ChahineDepartment of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon.
Gaby FallakhaDepartment Pediatrics, Centre Hospitalier du Nord, Zgharta, Lebanon.
Ghaith MakhoulDepartment of Pediatrics, Notre Dame de la Paix Hospital, Akkar, Lebanon.
Khalid YunisDepartment Pediatrics and Adolescent Medicine, National Collaborative Perinatal Neonatal Network, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0002-6384-2745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRate of cesarean section (CS), including elective CS has globally increased. Studies have found that term elective CS before 39 weeks of gestation is associated with increased risk of adverse respiratory outcomes.

objectiveTo determine the rate of elective CS and examine the association between timing of elective term CS and adverse neonatal outcomes in a large population of Lebanese women.

methodsA Multi-Center Study was conducted using data from the National Collaborative Perinatal Neonatal Network database. Simple and multivariable logistic regression models were used to examine the association between timing of term elective CS and adverse neonatal outcomes. Some of the neonatal adverse outcomes we examined included respiratory distress syndrome, admission to the NICU, and a composite of respiratory outcomes.

resultsA total of 28,997 low risk mothers who delivered through primary and repeat elective CS were included in the study. Uncomplicated elective planned term CS constituted 25% of all CS deliveries in Lebanon. Primary and repeat CS at 37 weeks of gestation increased the odds of most of the studied adverse neonatal outcomes. There were few associations between CS and adverse neonatal outcomes at 38 weeks of gestation.

conclusionsTerm primary and repeat cesarean delivery prior to 39 weeks of gestation is associated with respiratory and other adverse neonatal outcomes. Delaying birth 1-2 weeks till 39 weeks of gestation can prevent 64-77% of adverse respiratory outcomes.

Indexed as

AdultCesarean SectionElective Surgical ProceduresFemaleGestational AgeHospitalizationHumansInfant, NewbornIntensive Care Units, NeonatalPregnancyPregnancy OutcomeRespiratory Distress Syndrome, NewbornRetrospective StudiesTime Factors

Identifiers

PMID33819296
PMCPMC8021177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.