{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:45:35Z","timestamp":1765827935606,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The recent increase in early term birth rates represents a growing challenge to public health given the association between early term birth and neonatal morbidities. We compared the risk of respiratory morbidity between early term and full\u2010term infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort population study included infants born at 37\u201341\u00a0weeks\u2019 gestation in a single tertiary care university hospital between 2014 and 2016. Newborns were categorized as early term (37\u201338\u00a0weeks) and full term (39\u201341\u00a0weeks). The primary outcome was respiratory morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 4,894 babies born at 37\u201341\u00a0weeks gestational age, 31% (<jats:italic>n<\/jats:italic> = 1,521) were early term births. The rate of cesarean deliveries, which were often elective, was higher for early term than for full\u2010term newborns (<jats:italic>P<\/jats:italic> = 0.001). Compared with full\u2010term newborns, early term newborns, had significantly higher risks of respiratory morbidity (13.2 % vs 6.3 %; odds ratio [OR], 2.28, <jats:italic>P<\/jats:italic> = 0.001), respiratory distress syndrome (0.5 % vs 0 %, <jats:italic>P<\/jats:italic> = 0.001), transient tachypnea of the newborn (11.2 % vs 4.6 %; OR, 2.72, <jats:italic>P<\/jats:italic> = 0.001), continuous positive airway pressure use (9.7 % vs 3.7 %; OR, 2.82, <jats:italic>P<\/jats:italic> = 0.001), and ventilation support (1.4% vs 0.4%; OR, 4.11, <jats:italic>P<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The elevated frequency of respiratory morbidity in early term infants emphasizes the importance of early term birth interventions. More than half of the early term births were elective cesarean sections; interventions should therefore focus on reducing elective cesarean procedures at the time of first birth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14437","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:17:26Z","timestamp":1597277846000},"page":"60-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Early term delivery is associated with increased neonatal respiratory morbidity"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9939-7375","authenticated-orcid":false,"given":"Ozgul","family":"Bulut","sequence":"first","affiliation":[{"name":"Division of Neonatology Department of Pediatrics Istanbul Medeniyet University Goztepe Training and Research Hospital Istanbul 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