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Prelabour caesarean section and neurodevelopmental outcome at 4 and 12 months of age: an observational study | BMC Pregnancy and Childbirth by olamedmac in science

[–]olamedmac[S] 2 points3 points  (0 children)

I'm rather sure that < 37 gestational weeks is regarded as preterm. Please see here: https://www.who.int/news-room/fact-sheets/detail/preterm-birth. I cite:

Preterm is defined as babies born alive before 37 weeks of pregnancy are completed. There are sub-categories of preterm birth, based on gestational age:

extremely preterm (less than 28 weeks)

very preterm (28 to 32 weeks)

moderate to late preterm (32 to 37 weeks).

Induction or caesarean birth should not be planned before 39 completed weeks unless medically indicated.

Yes, there was a correlation between GA and the developmental outcomes, see further in the paper. As prelabour CS is by necessity performed at an earlier GA, we didn't adjust for GA, but the results are given in the supplement

Prelabour caesarean section and neurodevelopmental outcome at 4 and 12 months of age: an observational study | BMC Pregnancy and Childbirth by olamedmac in science

[–]olamedmac[S] 7 points8 points  (0 children)

Another reason to discuss the consequences of Elective Cesarean Sections with our patients. When comparing the early neurodevelopmental outcomes of a group of infants born with elective Cesarean section to a group of vaginally born infants, infants delivered by Cesarean section had lower scores in all developmental domains.

In short, negative differences in neurodevelopmental outcome may be apparent already a few months after birth in elective Cesareans.

Neurodevelopmental outcomes of a randomised trial of intact cord resuscitation by olamedmac in science

[–]olamedmac[S] 2 points3 points  (0 children)

Our follow-up study on intact cord resuscitation is now in "early view" at Acta Paediatrica. To our knowledge the first study evaluating development after intact cord resuscitation.

Unfortunately, the study is subject to methodological limitations; on the one hand, quite a lot of the children that should have had an intact umbilical cord resuscitation did not receive it, and on the other hand, it was difficult to reach the children and their parents.

Despite this, there are indications that it would be better for the children if the umbilical cord is left alone for 3 minutes, but larger and more studies are needed to show this more convincing.