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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)34-38
Number of pages5
JournalJournal of Perinatology
Volume39
Issue number1
DOIs
Publication statusPublished - 1 Jan 2019

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Western Australia
Cesarean Section
Surface-Active Agents
Lung Diseases
Cohort Studies
Retrospective Studies
Pregnancy

Cite this

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title = "Impact of elective caesarean section on neonatal retrieval in Western Australia during a 12-year period",
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.",
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Impact of elective caesarean section on neonatal retrieval in Western Australia during a 12-year period. / Macallister, Kathryn J.; Tho, Lye W.; Epee-Bekima, Mathias; Resnick, Steven; Davis, Jonathan W.

In: Journal of Perinatology, Vol. 39, No. 1, 01.01.2019, p. 34-38.

Research output: Contribution to journalArticle

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