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Impact of timing of delivery on maternal and neonatal outcomes for women after three previous caesarean deliveries; A secondary analysis of the caesarean section registry

BJOG: An International Journal of Obstetrics and Gynaecology Mar 29, 2019

Breslin N, et al. - Researchers examined if an association exist between early term delivery and lower maternal and neonatal morbidity among women with three previous caesarean deliveries (CD) via performing secondary analysis of a prospective registry of CD at 19 US academic centres from 1999 to 2002. Outcomes revealed no increase in adverse maternal outcomes with increasing gestational age beyond 37 weeks in women with three previous CDs, but there appeared an association of early term elective repeat CDs with higher neonatal morbidity. These findings support the safety of elective delivery of women with three previous CD at 39 weeks of gestation when there are no maternal or fetal indications for early term delivery.
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