Timing and consequences of early term and late term deliveries

J Matern Fetal Neonatal Med. 2014 Jul;27(11):1158-62. doi: 10.3109/14767058.2013.851190. Epub 2013 Oct 24.

Abstract

Objective: To examine the timing of elective delivery and neonatal intensive care unit (NICU) utilization of electively delivered infants from 2008 to 2011.

Methods: Analysis included 42,290 women with singleton gestation enrolled in a pregnancy education program, reporting uncomplicated pregnancies with elective labor induction (ELI) (n = 27,677) or scheduled cesarean delivery (SCD) (n = 14,613) at 37.0-41.9 weeks' gestation. Data were grouped by type and week of delivery (37.0-37.9, 38.0-38.9, and 39.0-41.9 weeks). ELI and SCD for each week of delivery from 2008 to 2011 and nursery utilization by delivery week were compared.

Results: During the 2008-2011 timeframe, a shift in timing of ELI and SCD toward ≥39.0 weeks was observed. In 2008, 80.9% of ELI occurred at ≥39.0 weeks versus 92.6% in 2011 (p < 0.001). In 2008, 60.5% of SCD occurred at ≥39.0 weeks versus 78.1% in 2011 (p < 0.001). NICU admission and prolonged nursery stays were highest at 37.0-37.9 weeks for both groups.

Conclusions: We observed a shift toward later gestational age at elective delivery from 2008 to 2011 and increased NICU utilization for neonates born at <39 weeks' gestation.

Keywords: Early term birth; elective delivery; neonatal morbidity.

MeSH terms

  • Adult
  • Cesarean Section / adverse effects
  • Cesarean Section / statistics & numerical data
  • Delivery, Obstetric / adverse effects*
  • Delivery, Obstetric / methods*
  • Delivery, Obstetric / statistics & numerical data
  • Elective Surgical Procedures / adverse effects
  • Elective Surgical Procedures / statistics & numerical data
  • Female
  • Gestational Age
  • Hospitalization / statistics & numerical data
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal / statistics & numerical data
  • Labor, Induced / adverse effects
  • Labor, Induced / statistics & numerical data
  • Pregnancy
  • Pregnancy Outcome / epidemiology*
  • Premature Birth / epidemiology*
  • Retrospective Studies
  • Term Birth*
  • Time Factors
  • Young Adult