{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:48:36Z","timestamp":1757706516975},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008392","name":"Sundhed og Sygdom, Det Frie Forskningsr\u00e5d","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008392","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003035","name":"Aase og Ejnar Danielsens Fond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003035","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We aimed to investigate if labor onset before planned cesarean delivery (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>) affects the risk of neonatal admission, respiratory distress, or neonatal infectious morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Our cohort included singleton term pregnant women with intended <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> who delivered at Aarhus University Hospital from 1990 to 2012. Two groups of women were identified: women with intended <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> performed before labor (nonlabor <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>) and women with intended <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> performed after spontaneous labor onset (labor\u2010onset <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>); in both groups there was no other maternal or fetal medical indication for an immediate <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> or for early\u2010term <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> scheduling. Data were stratified in early\u2010term (37\u201338 weeks) and full\u2010term (39\u201340 weeks) deliveries. The main outcome measures were neonatal admission, respiratory distress and neonatal infectious morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 103 919 live births, 5071 deliveries were nonlabor <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>s and 731 were labor\u2010onset <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>s. Compared to nonlabor <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>, labor\u2010onset <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> was associated with similar risks of neonatal admission and respiratory distress, both at early and full term, but with a two\u2010 to three\u2010fold increased risk of newborn septicemia or antibiotic treatment at early term. Labor onset at early term was associated with a lower risk of maternal blood loss of more than 500 <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>, but with a higher risk of postoperative antibiotic treatment and endometritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Labor onset before planned <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> was not associated with a decrease in neonatal respiratory morbidity, but may be associated with increased risks of neonatal infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13097","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T23:57:26Z","timestamp":1484783846000},"page":"479-486","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neonatal morbidity after spontaneous labor onset prior to intended cesarean delivery at term: a cohort 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