{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:34:03Z","timestamp":1772768043980,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T00:00:00Z","timestamp":1369008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate whether elective caesarean section before 39 completed weeks of gestation increases the risk of adverse neonatal or maternal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomised controlled multicentre open\u2010label trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Seven <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>anish tertiary hospitals from <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2009 to June 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with uncomplicated pregnancies, a single fetus, and a date of delivery estimated by ultrasound scheduled for delivery by elective caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Perinatal outcomes after elective caesarean section scheduled at a gestational age of 38\u00a0weeks and 3\u00a0days versus 39\u00a0weeks and 3\u00a0days (in both groups \u00b12\u00a0days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The primary outcome was neonatal intensive care unit (<jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>) admission within 48\u00a0hours of birth. Secondary outcomes were neonatal depression, <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content> admission within 7\u00a0days, <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content> length of stay, neonatal treatment, and maternal surgical or postpartum adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among women scheduled for elective caesarean section at 38<jats:sup>+3<\/jats:sup>\u00a0weeks 88\/635 neonates (13.9%) were admitted to the <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>, whereas in the 39<jats:sup>+3<\/jats:sup>\u00a0weeks group 76\/637 neonates (11.9%) were admitted (relative risk [<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>] 0.86, 95% confidence interval [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 0.65\u20131.15). Neonatal treatment with continuous oxygen for more than 1\u00a0day (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 0.31; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.10\u20130.94) and maternal bleeding of more than 500\u00a0ml (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 0.79; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.63\u20130.99) were less frequent in the 39\u00a0weeks group, but these findings were insignificant after adjustment for multiple comparisons. The risk of adverse neonatal or maternal outcomes, or a maternal composite outcome (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 1.1; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.79\u20131.53) was similar in the two intervention groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found no significant reduction in neonatal admission rate after <jats:styled-content style=\"fixed-case\">ECS<\/jats:styled-content> scheduled at 39\u00a0weeks compared with 38\u00a0weeks of gestation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12278","type":"journal-article","created":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T10:48:46Z","timestamp":1369046926000},"page":"1123-1132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Elective caesarean section at 38\u00a0weeks versus 39\u00a0weeks: neonatal and maternal outcomes in a randomised controlled trial"],"prefix":"10.1111","volume":"120","author":[{"given":"J","family":"Glavind","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Aarhus University Hospital Aarhus N Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SF","family":"Kindberg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Aarhus University Hospital Aarhus N Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Uldbjerg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Aarhus University Hospital Aarhus N Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Kolding Hospital Kolding Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AM","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Aalborg University Hospital Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BB","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Regional Hospital of Viborg Viborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OB","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Regional Hospital of Randers Randers Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JT","family":"Christensen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Regional Hospital of Herning Herning Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JS","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Odense University Hospital Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TB","family":"Henriksen","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Aarhus University Hospital Aarhus N Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,20]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"NICE.Caesarean section. 2011. 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