The caesarean section rate is rising globally. About 10% of the newborns are submitted to a neonatal department after planned caesarean section, primarily with respiratory disorders. More children are submitted if caesarean is performed earlier in pregnancy. Study hypothesis: More newborns are admitted after planned caesarean at 38 weeks and 3 days of gestation than after 39 weeks and 3 days of gestation. Aim of study: To compare elective caesarean section performed at 38 weeks and 3 days of gestation with 39 weeks and 3 days of gestation. According to this timing to determine the proportion of newborns admitted within 48 hours after birth.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
1,273
Procedure performed at 38 weeks and 3 days of gestation (+/- 2 days)
Procedure performed at 39 weeks and 3 days of gestation (+/- 2 days)
University Hospital of Odense
Odense, Odense, Denmark
Aarhus University Hospital, Aalborg Hospital
Aalborg, Denmark
Department of Obstetrics and Gynecology, Aarhus University Hospital Skejby
Aarhus N, Denmark
Regional Hospital of Herning
Herning, Denmark
Hospital of Kolding
Kolding, Denmark
Regional Hospital of Randers
Randers, Denmark
Regional Hospital of Viborg
Viborg, Denmark
Neonatal Admission After Elective Caesarean Section
Time frame: 48 hours
Neonatal Diagnoses
Time frame: 30 days
Duration of Neonatal Treatment With Ventilator, CPAP, Oxygen and/or Antibiotics
Time frame: 30 days
Maternal Haemorrhage in ml or Organ Laceration During Caesarean Section.
Time frame: 30 days
Maternal Fever, Wound Infection, Need of Wound Operative Revision and Antibiotics, Duration of Admission
Time frame: 30 days
Maternal Satisfaction With Timing of Elective Caesarean Section
Time frame: 2 months
Post Partum Depression
Time frame: 2 months
Pediatric Admission and Morbidity
Time frame: 2 months post partum
Pediatric Admission and Morbidity
Time frame: From birth until 2 years of age
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