Write your message
Volume 7, Issue 4 (July - August 2022)                   J Obstet Gynecol Cancer Res 2022, 7(4): 329-334 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Shirazi M, Zarkesh M, Fakehi M, Ghaemi M. Elective Cesarean Section Beyond 39 Weeks of Gestation Decreases Prenatal Morbidities and Improve Psychomotor Development One Year After Birth. J Obstet Gynecol Cancer Res. 2022; 7 (4) :329-334
URL: http://jogcr.com/article-1-441-en.html
1- Department of Gynecology and Obstetrics, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran
3- Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran , marjan_ghaemi@yahoo.com
Abstract:   (711 Views)

Background & Objective: This study aimed to compare the neonatal outcomes and infant development one year after birth at different gestational ages of elective cesarean section (CS) beyond 38 weeks.
Materials & Methods: This retrospective cohort study was recruited in an academic hospital affiliated with Tehran University of Medical Sciences between June 2018 and June 2020. The subjects of the study were the women who were scheduled for elective CS and divided into 3 groups according to the gestational age (38 0/7 to 38 6/7 as group A, 39 0/7 to 39 6/7 as group B, and 40 0/7 to 40 6/7 as group C). The neonatal outcomes and the growth and development status were evaluated by ages and stages questionnaires® (ASQ) after 12 months and compared between groups.
Results: Totally, 952 neonates were eligible for this study. In groups A, B, and C, CS was performed in 314, 409, and 229 neonates, respectively. The first minute Apgar was significantly lower in the neonates with lesser gestational age at delivery (P=0.026). Indeed, neonatal hospitalization, hypoglycemia, and jaundice in group A were significantly higher than in other groups (P<0.001). Regarding psychomotor development, the scores related to gross motor and problem-solving abilities in group A were significantly lower than those in other groups (P<0.05).
Conclusion: It is suggested to plan elective CS beyond 39 weeks of gestation to decrease prenatal morbidities and improve psychomotor development one year after birth.

Full-Text [PDF 251 kb]   (87 Downloads) |   |   Full-Text (HTML)  (68 Views)  
Systematic Review: Original Research | Subject: Maternal Fetal Medicine
Received: 2021/07/14 | Accepted: 2021/10/2 | Published: 2022/03/14

1. Ana Pilar Betrán, Jianfeng Ye, Anne-Beth Moller, Jun Zhang, A. Metin Gülmezoglu, and Maria Regina Torloni4. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One. 2016;11(2):e0148343. [DOI:10.1371/journal.pone.0148343] [PMID] [PMCID]
2. Isabel A. Cáceres, a Mariana Arcaya, Eugene Declercq, Candice M. Belanoff, Vanitha Janakiraman, , b Bruce Cohen, Jeffrey Ecker, Lauren A. Smith, and S. V. Subramanian. Hospital Differences in Cesarean Deliveries in Massachusetts (US) 2004-2006: The Case against Case-Mix Artifact. PLoS One. 2013;8(3):e57817. [DOI:10.1371/journal.pone.0057817] [PMID] [PMCID]
3. Mohammad Hossein Badakhsh MS, Nahid Khodakarami. Rise in Cesarean Section Rate Over a 30-Year Period in a Public Hospital in Tehran, Iran. Arch Iran Med. 2012;15(1):4-7.
4. Chitrakan Charoenboon KS, Theera Tongsong. Rise in cesarean section rate over a 20-year period in a public sector hospital in northern Thailand. Arch Gynecol Obstet. 2013;287(1):47-52. [DOI:10.1007/s00404-012-2531-z] [PMID] [PMCID]
5. Caroline Signore MK. Neonatal Morbidity and Mortality After Elective Cesarean Delivery. Clin Perinatol. 2008;35(2):361-vi. [DOI:10.1016/j.clp.2008.03.009] [PMID] [PMCID]
6. Zarko Alfirevic SJM, Stefania Livio. Caesarean section versus vaginal delivery for preterm birth in singletons. Cochrane Database Syst Rev. 2012;6(CD000078). [DOI:10.1002/14651858.CD000078.pub2]
7. Hansen AK WK, Uldbjerg N, Henriksen TB. Elective caesarean section and respiratory morbidity in the term and near-term neonate. ActaObstetGynecol 2007;86(4):389-94. [DOI:10.1080/00016340601159256] [PMID]
8. Hannah ME. Planned elective cesarean section: A reasonable choice for some women? CMAJ. 2004;170(5):813-4. [DOI:10.1503/cmaj.1032002] [PMID] [PMCID]
9. Resende MC, Santos L, Santos Silva I. [Neonatal Morbidity in Term Newborns Born by Elective Cesarean Section]. Acta Med Port. 2015;28(5):601-7. [DOI:10.20344/amp.5878] [PMID]
10. Shirazi M, Hajiha N, Sereshki ZK, Zarkesh MR, Shariat M, Ebrahimi M. Timing of Elective Cesarean Section and Growth and Psychomotor Developmental Indices in 6-Month-Old Infants. Arch Iran Med. 2019;22(8):420-8.
11. Olga R EB, Suzanna M. Martinez, Eastern K, Marcela C, Betsy L. Developmental Scores at 1 Year With Increasing Gestational Age, 37-41 Weeks. Pediatrics. 2013;131(5):1475-82. [DOI:10.1542/peds.2012-3215] [PMID] [PMCID]
12. Bentley JP, Roberts CL, Bowen JR, Martin AJ, Morris JM, Nassar N. Planned Birth Before 39 Weeks and Child Development: A Population-Based Study. Pediatrics. 2016;138(6). [DOI:10.1542/peds.2016-2002] [PMID]
13. Sepanlou SG, Akbarian A. Growing rate of cesarean section in Iran: dimensions and concerns. Arch Iran Med. 2012;15(1):2-3.
14. Roshanak Vameghi FS, Adis Kraskian Mojembari, Abbas Habiollahi, Hamid Reza Lornezhad, Bahram Delavar. Cross-Cultural Adaptation, Validation and Standardization of Ages and Stages Questionnaire (ASQ) in Iranian Children. Iran J Public Health. 2013;1;42(5):522-8.
15. Gollenberg AL, Lynch CD, Jackson LW, McGuinness BM, Msall ME. Concurrent validity of the parent-completed Ages and Stages Questionnaires, 2nd Ed. with the Bayley Scales of Infant Development II in a low-risk sample. Child Care Health Dev. 2010;36(4):485-90. [DOI:10.1111/j.1365-2214.2009.01041.x] [PMID]
16. Woodward BJ, Papile LA, Lowe JR, Laadt VL, Shaffer ML, Montman R, et al. Use of the Ages and Stages Questionnaire and Bayley Scales of Infant Development-II in neurodevelopmental follow-up of extremely low birth weight infants. J Perinatol. 2011;31(10):641-6. [DOI:10.1038/jp.2011.1] [PMID] [PMCID]
17. van den Berg A, van Elburg RM, van Geijn HP, Fetter WP. Neonatal respiratory morbidity following elective caesarean section in term infants. A 5-year retrospective study and a review of the literature. Eur J Obstet Gynecol Reprod Biol. 2001;98(1):9-13. [DOI:10.1016/S0301-2115(01)00292-5]
18. Mohammad Hourani FZ, Mariam Rajab Timing of planned caesarean section and the morbidities of the newborn. N Am J Med Sci. 2011;3(10):465-8. [DOI:10.4297/najms.2011.3465.] [PMID] [PMCID]
19. Roberta De Luca MB, Olivier Irion, Michel Berner and Riccardo Erennio Pfister. Incidence of Early Neonatal Mortality and Morbidity After Late-Preterm and Term Cesarean Delivery. Pediatrics. 2009;123(6): e1064-e71. [DOI:10.1542/peds.2008-2407] [PMID]
20. Lie KK GE, Eskild A. Association of cerebral palsy with Apgar score in low and normal birthweight infants: population based cohort study. BMJ. 2010;341(c4990). [DOI:10.1136/bmj.c4990] [PMID] [PMCID]
21. Alan T.N. Tita MD, Ph.D., Mark B. Landon, M.D., Catherine Y. Spong, M.D., Yinglei Lai, Ph.D., Kenneth J. Leveno, M.D., Michael W. Varner, M.D., Atef H. Moawad, M.D., Steve N. Caritis, M.D., Paul J. Meis, M.D., Ronald J. Wapner, M.D., Yoram Sorokin, M.D., Menachem Miodovnik, M.D. Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes. New Eng J Med. 2009;360:111-20. [DOI:10.1056/NEJMoa0803267] [PMID]
22. Hourani M, Ziade F, Rajab M. Timing of planned caesarean section and the morbidities of the newborn. N Am J Med Sci. 2011;3(10):465-8. [DOI:10.4297/najms.2011.3465.] [PMID] [PMCID]
23. Pirjani R, Afrakhteh M, Sepidarkish M, Nariman S, Shirazi M, Moini A, et al. 'Elective caesarean section at 38-39 weeks gestation compared to > 39 weeks on neonatal outcomes: a prospective cohort study. BMC Pregnancy Childbirth. 2018;18(1):140. [DOI:10.1186/s12884-018-1785-2] [PMID] [PMCID]
24. Yang S, Platt RW, Kramer MS. Variation in child cognitive ability by week of gestation among healthy term births. Am J Epidemiol. 2010;171(4):399-406. [DOI:10.1093/aje/kwp413] [PMID] [PMCID]
25. Kinney HC. The near-term (late preterm) human brain and risk for periventricular leukomalacia: a review. Semin Perinatol. 2006;30(2):81-8. [DOI:10.1053/j.semperi.2006.02.006] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Based on a work at http://jogcr.com/.

© 2022 CC BY-NC 4.0 | Journal of Obstetrics, Gynecology and Cancer Research (JOGCR)

Designed & Developed by : Yektaweb | Piblisher: Farname Inc.