Timing of Delivery and Early Neonatal Outcomes in Palestine
Overview
This study evaluates the neonatal outcomes associated with elective caesarean sections performed before 39 weeks of gestation in Palestine.
Background
The timing of elective caesarean sections is critical as deliveries before 39 weeks can lead to increased neonatal complications. Understanding the local context in Palestine is essential, given the variations in obstetric practices and neonatal care capabilities.
Data Highlights
Delivery Mode
Composite Morbidity (%)
Late-preterm elective caesarean section
49.0
Late-preterm vaginal birth
28.2
Early-term elective caesarean section
26.6
Elective caesarean section at 39 weeks or later
15.3
Early-term vaginal birth
13.9
Key Findings
3,347 infants were delivered by elective caesarean section, with 76.8% occurring before 39 weeks.
Composite morbidity was highest after late-preterm elective caesarean sections (49.0%).
Late-preterm elective caesarean sections were associated with increased NICU admissions and respiratory complications.
Early-term elective caesarean sections also showed a significant association with composite morbidity.
Clinical Implications
Healthcare providers should be cautious when scheduling elective caesarean sections before 39 weeks, as this may lead to increased neonatal morbidity. It is essential to ensure that any early deliveries are medically indicated and well-documented.
Conclusion
The study highlights the risks associated with elective caesarean sections performed before 39 weeks, particularly in late-preterm infants, emphasizing the need for careful clinical decision-making.
by Motee Abuawwad, Mohammad Ibrahim Ghannam, Salahaldeen Deeb, Alaa Rashed Naji Said, Mohammed A. Taqatqah, Yousef Joulani, Bayan Abed Rabu, Ala Dwaib, Deema Alzeer, Salwa Sheikh Kasem, Hatem Mousa Khamash, Asmaa A. Rjoob
