‘Elective caesarean section at 38–39 weeks gestation compared to &gt; 39 weeks on neonatal outcomes: a prospective cohort study

Pirjani, Reihaneh; Afrakhteh, Motahareh; Sepidarkish, Mahdi; Nariman, Shahin; Shirazi, Mahboobeh; Moini, Ashraf; Hosseini, Ladan

doi:10.1186/s12884-018-1785-2

Cited by 29 publications

(20 citation statements)

References 19 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the current study neonates born at a gestation less than 39 weeks were 2.6 times at a higher risk of having abnormal outcomes than those born at the age at least 39 weeks or more. The results agree with findings by Pirjani, Afrakhteh, Sepidarkish, Nariman, Shirazi, Moini & Hosseini (2018) who noted that higher incidence of Neonatal Intensive Care Unit (NICU) admissions for neonates born less than 39 gestational weeks than those who were born after 39 gestational weeks or more. These study findings also noted a significant factor that neonates whose mothers received Ionized Preventive Therapy (IPT) and haematinics have the risk of having abnormal outcome 50% lower compared to mothers who had not received the two preventive treatments.…”

Section: Association Between Individual Factors and Fetal Outcomessupporting

confidence: 90%

Individual Factors Influencing Maternal and Fetal Outcomes Among Mothers Reffered With Obstetric Emergencies in Baringo County Referral Hospital

Kandie

Kipmerewo

Mukabana

et al. 2021

JHMN

View full text Add to dashboard Cite

Purpose: To determine the association between individual factors and maternal and fetal outcomes among mothers referred with obstetric emergencies. Methodology: A descriptive cross-sectional study which employed a mixed method approach of data collection was adopted. Simple Random technique was used in selecting 284 respondents into the study. The study population also included nurses, gynaecologist and medical officers who were purposively sampled. Qualitative data collection was analysed through content analysis while descriptive and inferential statistics were used to analysed quantitative data. Findings: The odds were lower for Neonates of mothers who did not have complications immediately post-delivery (OR:0.2;95% CI: 0.1-.8; P=0.01) compared with mothers who had complications. Neonates whose mothers received haematinics and IPT had 50% lower rate of complications than those who did not(OR:0.5;95% CI:0.2-1.0;P=0.04).The odds of abnormal births were higher for mothers without any income compared to those with some income (OR:1.7;95% CI 1.0-2.7;P=0.04).Moreover, neonates of mothers with no or with primary education were 1.7 times more likely to have had abnormal outcome (OR:1.7;95% CI 1.0-2.9;P=0.03)than those cases where the mother had secondary education and above. Further results show that women who decided by themselves to attend ANC were 95.5% less likely to have had complications (OR:0.4;95%CI:0.1; -1.0P=0.07). Gestational age of less than 39 weeks was associated with an increase in the odds of having maternal complications with up to 10.4 times likelihood of having complications (OR:0.4;95% CI:O.1; P=0.07) Unique contribution to theory, practice and policy: This study has identified individual factors influencing maternal and fetal outcomes of obstetric emergencies in a marginalized county. The findings will provide insight to policy makers at the county level hence informed interventions will be made. The study will also form a basis for other researchers because no literature review has been published on this topic at the study site.

show abstract

Section: Association Between Individual Factors and Fetal Outcomessupporting

confidence: 90%

Individual Factors Influencing Maternal and Fetal Outcomes Among Mothers Reffered With Obstetric Emergencies in Baringo County Referral Hospital

Kandie

Kipmerewo

Mukabana

et al. 2021

JHMN

View full text Add to dashboard Cite

show abstract

“…Pakistan has been trying to cope with the problem of maternal care by establishing specialized health units, operating emergency obstetrical care services in health units and implementing a national maternal care program. The implemented national family planning and chief care programs are offering home-based healthcare services for the underserved and rural communities [37]. However, the higher CSR and MMR indicate the ineffectiveness of these programs [22].…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study to Assess the Frequency and Risk Factors Associated with Cesarean Section in Southern Punjab, Pakistan

Rasool

Akhtar

Hussain

et al. 2021

IJERPH

View full text Add to dashboard Cite

The increasing frequency of cesarean section (CS) is a major public health issue, and it is on the rise in Pakistan. A cross-sectional study approach was used to assess the frequency of CS and its contributing factors, along with the assessment of knowledge in mothers who had undergone CS in one of the under-developed regions of Pakistan. Data collection was done by using a self-developed study questionnaire. The statistical package for social sciences (SPSS) was utilized for the statistical analysis. During the study period, a total of 173 (69.7%) women have given births by CS; among those, 104 (60.1%) were elective/planned CSs while 69 (39.8%) were emergency CSs. The higher CS frequency was significantly associated with younger age (p = 0.03) and pre-term gestational age (p < 0.001). Pregnancy complications, such as gestational diabetes, hypertension, preeclampsia/eclampsia, and vaginal bleeding, were the significant risk factors for CS (p < 0.001). The highlighted contributing factors to CS in the current study were preterm of gestational age, mothers of a younger age (20–24 years), and mothers that belong to urban populations. These risk factors can be addressed by implementing community-focused educational interventions during the gestational period. The sample size in this study was small; therefore, the results cannot be generalized to the whole population.

show abstract

“…This prevalence rate is much more than global rate [3]. The growth of caesarean section rate increases unpleasant outcomes of delivery and neonatal complications such as respiratory distress syndrome, transient tachypnea of newborn and increased NICU admission [4,5]. WHO (World Health Organization) has unnecessary announced the rate of caesarean section higher than 15% [4].…”

Section: Delivery and Its Processmentioning

confidence: 99%

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background: The rate of cesarean section is increasing in all over the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained the benefits of date palm fruit on labor process improvement. Date fruit can be considered as a factor for increasing vaginal delivery and also reducing the frequency of caesarean section in order to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score, and frequency of cesarean section) compared with routine cares. Methods: This study was performed in 2019. Required data has been collected from electronic databases and manual searches. All randomized clinical trials evaluating the effects of date palm fruit on labor and delivery that in English and Persian languages, were incorporated in this systematic review. The methodological quality of the included studies was evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews, and were then reported using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results: Eight studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption can significantly reduce active phase of labor (three trials with 380 participants; (MD = − 109.3, 95%CI (− 196.32, − 22.29; I 2 = 89%), P = 0.01), and also it can significantly improve the bishop score (two trials with 320 participants; MD = 2.45, 95%CI (1.87, 3.04; I 2 = 0%), P < 0.00001). Date fruit consumption had no effects on the duration of first, second, and third stages of labor, and the frequency of cesarean section. Conclusion: Date can reduce the duration of active phase and improve the bishop score; however, due to from the low to mediate quality of the studies; it seems that the other studies are needed to prove these results better than this.

show abstract

‘Elective caesarean section at 38–39 weeks gestation compared to > 39 weeks on neonatal outcomes: a prospective cohort study

Cited by 29 publications

References 19 publications

Individual Factors Influencing Maternal and Fetal Outcomes Among Mothers Reffered With Obstetric Emergencies in Baringo County Referral Hospital

Individual Factors Influencing Maternal and Fetal Outcomes Among Mothers Reffered With Obstetric Emergencies in Baringo County Referral Hospital

A Cross-Sectional Study to Assess the Frequency and Risk Factors Associated with Cesarean Section in Southern Punjab, Pakistan

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Contact Info

Product

Resources

About