Key result
Elective caesarean section at 38 weeks of gestation resulted in similar maternal and neonatal outcomes, including NICU admission rates (9.75% vs 11.25%), compared to delivery at 40 weeks.
Why the study?
Timing of elective caesarean deliveries at term has become an important issue due to the progressive increase in caesarean delivery rates worldwide.
Does elective caesarean section at 38 weeks compared to 40 weeks improve or worsen maternal and neonatal outcomes in singleton pregnant women?
RCT (n=800)
Randomized
No
Does elective caesarean section at 38 weeks compared to 40 weeks improve or worsen maternal and neonatal outcomes in singleton pregnant women?
Absolute Event Rate: 9.75% vs 11.25%
Elective caesarean section at 38 weeks has comparable maternal and neonatal outcomes to 40 weeks, making it an acceptable option in resource-limited settings where patients may otherwise present in emergency labor.
May support 38-week elective caesarean in select cases; leaves open confirmation via randomized trials before practice change.
Timing of elective caesarean deliveries at term has become an important issue nowadays due to the progressive increase in caesarean delivery rates in recent years all over the world. A study was undertaken to compare the maternal and neonatal outcomes in 400women undergoing elective cesarean section at 38 and 40 weeks of gestation each at a tertiary centre in Delhi over a period of one year. The maternal outcome parameters were PPH, scar Dehiscence, Wound Infection and need for transfusion of any blood products. The neonatal outcome was assessed on the basis of APGAR score and NICU admissions. No significant maternal or neonatal complication of Elective LSCS at 38 or 40 weeks were observed. It was thus concluded that scheduling elective LSCS at 38 weeks may be an acceptable option in women with good maternal and perinatal outcome.
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Pundir et al. (2020) conducted an RCT in Singleton pregnancy requiring elective caesarean section (n=800). Elective caesarean section at 38 weeks vs. Elective caesarean section at 40 weeks was evaluated on NICU admission. Elective caesarean section at 38 weeks of gestation resulted in similar maternal and neonatal outcomes, including NICU admission rates (9.75% vs 11.25%), compared to delivery at 40 weeks.
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