title: Timing of elective repeated cesarean delivery in patients with previous two or more cesarean section.
abstract: OBJECTIVE
  To assess the maternal and neonatal consequences of scheduling elective repeated cesarean section (ERCS) at 39 weeks rather than 38 weeks and to assess the impacts of delivering by emergency cesarean section (CS) before the planned date.
  
  
  METHODS
  Retrospective Cohort study.
  
  
  METHODS
  Patients with previous two or more CS planned for ERCS at term during the period from January to June 2011.
  
  
  METHODS
  Medical records were reviewed for demographic and clinical data, planned timing of CS, emergency cesarean and any adverse maternal or neonatal outcome.
  
  
  METHODS
  Adverse maternal or neonatal outcome.
  
  
  RESULTS
  Four hundred and twenty women were included, 71.4% of cases were posted <39 weeks and 28.6% were posted at ≥39 weeks. Patients posted ≥ 39 weeks were more prone to deliver by emergency CS (16.6 vs. 10.6%) and the neonates were less prone to RDS and NICU admission (p < 0.05).
  
  
  CONCLUSIONS
  Our data support the justification to book patients for ERCS at ≥39 weeks.
authors.affiliation: Department of Obstetrics and Gynecology, Hamad Medical Corporation , Women Hospital, Doha, Qatar. abdu163@hotmail.com
authors.forename: Abdel-Baset F
authors.initials: AB
authors.lastname: Mohammed
authors.forename: Arabo I
authors.initials: AI
authors.lastname: Bayo
authors.forename: Mahmoud F
authors.initials: MF
authors.lastname: Abu-Jubara
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000009:adverse effects* / Q000592:standards / Q000706:statistics & numerical data; D017558:Elective Surgical Procedures / Q000009:adverse effects* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D005865:Gestational Age; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011780:Qatar; D012189:Retrospective Studies