{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:42:01Z","timestamp":1765827721566,"version":"3.40.5"},"reference-count":28,"publisher":"American Academy of Pediatrics (AAP)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES:<\/jats:title>\n                  <jats:p>Early term infants (37\u2013&amp;lt;39 weeks\u2019 gestation) are at higher risk of adverse outcomes than term infants (39\u2013&amp;lt;41 weeks\u2019 gestation). We hypothesized that a policy to eliminate elective, early term deliveries would result in fewer NICU admissions and shorter lengths of stay among infants born \u226537 weeks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>This was a retrospective cohort study of singleton infants born \u226537 weeks at a tertiary medical center from 2004 to 2015 (preperiod: 2004\u20132008; postperiod: 2010\u20132015; washout period: 2009). We compared the incidence of early term delivery, NICU admissions (short: \u22654\u2013&amp;lt;24 hours, long: \u226524 hours), NICU diagnoses, and stillbirths in both periods. We used modified Poisson regression to calculate adjusted risk ratios.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>There were 20\u2009708 and 24\u2009897 singleton infants born \u226537 weeks in the pre- and postperiod, respectively. The proportion of early term infants decreased from 32.5% to 25.7% (P &amp;lt; .0001). NICU admissions decreased nonsignificantly (9.2% to 8.8%; P = .22), with a significant reduction in short NICU stays (5.4% to 4.6%; adjusted risk ratio: 0.85 [95% confidence interval: 0.79\u20130.93]). Long NICU stays increased slightly (3.8% to 4.2%), a result that was nullified by adjusting for neonatal hypoglycemia. A nonsignificant increase in the incidence of stillbirths \u226537 to &amp;lt;40 weeks was present in the postperiod (7.5 to 10 per 10\u2009000 births; P = .46).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Reducing early term deliveries was associated with fewer short NICU stays, suggesting that efforts to discourage early term deliveries in uncomplicated pregnancies may minimize mother-infant separation in the newborn period.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/hpeds.2018-0068","type":"journal-article","created":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T08:25:16Z","timestamp":1541060716000},"page":"686-692","source":"Crossref","is-referenced-by-count":7,"title":["NICU Admissions After a Policy to Eliminate Elective Early Term Deliveries Before 39 Weeks\u2019 Gestation"],"prefix":"10.1542","volume":"8","author":[{"given":"Erin B.","family":"Kennedy","sequence":"first","affiliation":[{"name":"Departments of Neonatology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele R.","family":"Hacker","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School and"},{"name":"Department of Epidemiology, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Miedema","sequence":"additional","affiliation":[{"name":"Departments of Neonatology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DeWayne M.","family":"Pursley","sequence":"additional","affiliation":[{"name":"Departments of Neonatology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M.","family":"Modest","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toni H.","family":"Golen","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather H.","family":"Burris","sequence":"additional","affiliation":[{"name":"Departments of Neonatology and"},{"name":"Department of Pediatrics, Children\u2019s Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2018,11,1]]},"reference":[{"issue":"2","key":"2021120817270271800_B1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1056\/NEJMoa0803267","article-title":"Timing of elective repeat cesarean delivery at term and neonatal outcomes","volume":"360","author":"Tita","year":"2009","journal-title":"N Engl J Med"},{"issue":"3","key":"2021120817270271800_B2","doi-asserted-by":"crossref","first-page":"250.e1","DOI":"10.1016\/j.ajog.2010.01.052","article-title":"Neonatal outcome following elective cesarean section beyond 37 weeks of gestation: a 7-year retrospective analysis of a national registry","volume":"202","author":"Wilmink","year":"2010","journal-title":"Am J Obstet Gynecol"},{"issue":"5","key":"2021120817270271800_B3","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1097\/AOG.0b013e3182319c58","article-title":"Neonatal outcomes after implementation of guidelines limiting elective delivery before 39 weeks of gestation","volume":"118","author":"Ehrenthal","year":"2011","journal-title":"Obstet Gynecol"},{"issue":"4","key":"2021120817270271800_B4","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1097\/AOG.0b013e31819b5c8c","article-title":"Decreasing elective deliveries before 39 weeks of gestation in an integrated health care system","volume":"113","author":"Oshiro","year":"2009","journal-title":"Obstet Gynecol"},{"key":"2021120817270271800_B5","unstructured":"American College of Obstetricians and Gynecologists Committee on Obstetric Practices\n          Society for Maternal-Fetal Medicine. 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