TY - JOUR
T1 - Impact of elective caesarean section on neonatal retrieval in Western Australia during a 12-year period
AU - Macallister, Kathryn J.
AU - Tho, Lye W.
AU - Epee-Bekima, Mathias
AU - Resnick, Steven
AU - Davis, Jonathan W.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85055332596&partnerID=8YFLogxK
U2 - 10.1038/s41372-018-0263-z
DO - 10.1038/s41372-018-0263-z
M3 - Article
C2 - 30341400
AN - SCOPUS:85055332596
SN - 0743-8346
VL - 39
SP - 34
EP - 38
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 1
ER -