Timing of elective repeat caesarean section: maternal and neonatal morbidity and mortality.
Timing of elective repeat caesarean section should take into account both fetal and maternal considerations. The percentage of caesarean deliveries has dramatically increased during the last decades. It undoubtedly leads to an increase in the number of women having multiple caesarean sections. While maternal morbidity increases with increased number of caesarean sections, when compared with their term counterparts, late pre-term infants face increased morbidity. Establishing the optimal time of delivery for both mother and child is a major challenge faced by clinicians. The aim of this review is to better understand neonatal and maternal morbidity and mortality that are associated with elective repeat caesarean section, and to provide an educated decision regarding the optimal timing for elective repeat caesarean section.
Tzur
Tamar
T
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Weintraub
Adi Y
AY
Sheiner
Eyal
E
Wiznitzer
Arnon
A
Mazor
Moshe
M
Holcberg
Gershon
G
D001623:Betamethasone; D017604:Cesarean Section, Repeat / Q000009:adverse effects* / Q000401:mortality; D017558:Elective Surgical Procedures / Q000009:adverse effects* / Q000401:mortality; D005260:Female; D005325:Fetal Organ Maturity; D005938:Glucocorticoids; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D011247:Pregnancy; D013997:Time Factors; D014597:Uterine Rupture / Q000209:etiology
D005938:Glucocorticoids; D001623:Betamethasone