-Short Communication-

Timing of Elective Cesarean Singleton Delivery and Neonatal Respiratory Outcomes at a Japanese Perinatal Center

Kayoko Terada¹, Marie Ito¹, Sakae Kumasaka² and Shunji Suzuki¹

¹Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital
²Department of Pediatrics, Japanese Red Cross Katsushika Maternity Hospital

The present study examined the relation between the timing of elective cesarean delivery at term and neonatal respiratory outcomes at our institution. From 2005 through 2013, 1,951 elective cesarean singleton deliveries were performed at term. Of the neonates, 141 (7%) had respiratory disorders requiring oxygen supplementation. In comparison to the incidence of respiratory disorders in neonates delivered at full term (39-40 weeks), the incidences in neonates delivered at ≤38+1/7 weeks' and at 41 weeks' gestation were significantly higher. Uncomplicated elective cesarean singleton delivery should be avoided at 38+1 weeks or earlier, and we also pay attention to the respiratory outcomes of neonates delivered by elective cesarean section at 41 weeks' gestation.

J Nippon Med Sch 2014; 81: 285-288

Keywords
elective cesarean singleton delivery, term, neonatal respiratory disorders, oxygen supply

Correspondence to
Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, 5-11-12 Tateishi, Katsushika-ku, Tokyo 124-0012, Japan
czg83542@mopera.ne.jp

Received, April 7, 2014
Accepted, April 17, 2014