{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:53:00Z","timestamp":1783774380947,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T00:00:00Z","timestamp":1490140800000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Prelabour caesarean section (<jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>) at early term (37<jats:sup>0<\/jats:sup>\u201338<jats:sup>6<\/jats:sup>\u00a0weeks) is associated with higher rates of adverse short\u2010term neonatal outcomes and higher costs than those performed at full term (39<jats:sup>0<\/jats:sup>\u201340<jats:sup>6<\/jats:sup>\u00a0weeks). Prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> is more common in private than in public hospitals in Australia, particularly at early term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the impact of hospital sector (public or private) and timing of delivery on short\u2010term neonatal outcomes following prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> at term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A retrospective cohort study of 22\u00a0954 viable singleton prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> births at term (37<jats:sup>0<\/jats:sup>\u201340<jats:sup>6<\/jats:sup>\u00a0weeks) at a single centre encompassing co\u2010located public and private hospitals during 1998\u20132013 was undertaken. Propensity score analysis was used to adjust for confounding differences between sectors. The primary outcome was Neonatal Critical Care Unit (<jats:styled-content style=\"fixed-case\">NCCU<\/jats:styled-content>) admission with serious morbidity. Secondary outcomes included respiratory distress, vigorous resuscitation and jaundice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The private hospital performed prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> at over double the rate of the public hospital (33.7% of all private births vs 14.7% public) and more private than public prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>s occurred at early term (66.8% vs 47.9%). Public babies were more than twice as likely as private babies to require admission to <jats:styled-content style=\"fixed-case\">NCCU<\/jats:styled-content> with serious morbidity (<jats:styled-content style=\"fixed-case\">adjusted odds ratio (AOR<\/jats:styled-content>) 2.54, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.77\u20133.65) but were less likely to need vigorous resuscitation (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 0.53, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.45\u20130.62). Disparities in outcomes between public and private cohorts were accentuated at full term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite early\u2010term prelabour <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>s occurring more often in the private hospital, public babies had more adverse outcomes and treatment escalations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12591","type":"journal-article","created":{"date-parts":[[2017,3,23]],"date-time":"2017-03-23T02:36:27Z","timestamp":1490236587000},"page":"176-185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Public\u2010private differences in short\u2010term neonatal outcomes following birth by prelabour caesarean section at early and full term"],"prefix":"10.1111","volume":"57","author":[{"given":"Nicole","family":"Adams","sequence":"first","affiliation":[{"name":"The School of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen S.","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Mater Research Office Mater Research  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Tudehope","sequence":"additional","affiliation":[{"name":"The School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Mater Research Institute University of Queensland  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,22]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Private Health Insurance Ombudsman.What is covered? 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