This drops to 2% at 39 weeks, but I can't be delivered that late. by induction or cesarean section (C-section), and are associated with an increased risk of . A total of 571 women in the 38-week group and 526 in the 39-week group had an ECS, and 59 and 97, respectively, had an unscheduled CS. Scheduled C-section at 38 weeks!! I wouldn't worry if I were you, as long as you're sure about the dates of the pregnancy. I had an emergency csection with my first and went back and forth my entire pregnancy between vbac or repeat and decided the week before delivery to have the section. Marie: I had an elective C-section at 38 weeks exactly due to being high risk with cholestasis and gestational diabetes. Five women in the 38-week and 16 in the 39-week group delivered vaginally. 13,258 women who had undergone an elective C-section at term. Estimated due dates are based on ultrasounds, and the woman's menstrual cycle can be wrong - up to two weeks earlier or later than the EDD. Elective C-Section at 38+4 weeks. Induced or cesarean section deliveries at 37 or 38 weeks, usually for convenience, was until recently widely considered benign. In the US almost 75% of all preterm . As a general rule by 38 weeks the childs lungs as sufficiently developed to breath on their own. More women over 35 are choosing elective C-section, citing a desire to control the timing of their maternity leave. Babies born at term (at or after 37 weeks of pregnancy) by planned (elective) caesarean section, before onset of labour, are more likely to develop breathing complications than babies born vaginally. A caesarean section, or C-section, is an operation to deliver your baby through a cut made in your tummy and womb. Population: Women with uncomplicated pregnancies, a single fetus, and a date of delivery estimated by . It takes longer to recover from a C-section, compared to vaginal birth, and the surgery may increase the risk of problems with vaginal birth in future pregnancies. How was the baby? It is not rare at all to have some infants who still have some trouble with lung immaturity up to 38 weeks. If size and breech are a major factor, a 38 week cesarean can minimize further complications, higher sugars in a baby, ease pregnancy discomforts in those later stages for you as well, etc. I was fine with that date until I read a couple of posts stating that public hospitals take 39 weeks as full term now as opposed to 37 weeks previously. Hansen AK, Wisborg K, Uldbjerg N, Henriksen TB. And the decision to undergo C-section, especially at a mother's or an obstetrician's choice . Pregnancy Week 39. 1 An example would be with triplets or higher-order multiples, placenta previa, or fetal distress. A total of 571 women in the 38-week group and 526 in the 39-week group had an ECS, and 59 and 97, respectively, had an unscheduled CS. Methods Perinatal outcomes after elective caesarean section scheduled at a gestational age of 38 weeks and 3 days versus 39 weeks and 3 days (in both groups ±2 days). Your baby will be perfectly healthy at 38 weeks. O75.82 is a billable diagnosis code used to specify a medical diagnosis of onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section. Pregnancy . CK25 09/04/21. For women with 1 previous cesarean delivery, it is generally agreed that the optimal timing of delivery by elective cesarean delivery is during the 39th week of gestation, whereas for women with ≥2 previous cesarean deliveries, the optimal delivery time remains debatable. Elective Deliveries Before 39 Weeks Gestational Age Page 3 of 4 The Guidelines for Perinatal Care, 6th Edition similarly advise against elective cesarean deliveries until 39 weeks. Studies have determined that elective delivery or elective cesarean section prior to the gestational age of 39 weeks may result in significant short term neonatal morbidity (neonatal intensive care unit admission . After extensive counseling, the couple decline elective cesarean section delivery. This procedure is becoming more common in South Africa with more than 50% of babies in the private sector and almost 20% of babies in the public sector being born by caesarean section. Richmond . In 2015, an estimated 32% of all births in the United States were performed by C-section, and around 2.5% of those deliveries were elective cesareans by maternal request. I have been booked for a c-section at 38+4 on 28th April! Women with uncomplicated pregnancies, a single fetus, and a date of delivery estimated by ultrasound scheduled for delivery by elective caesarean section. . Setting: Seven Danish tertiary hospitals from March 2009 to June 2011. 1 In our study, 59.9% . Gestational age at delivery was confirmed by a first or second trimester ultrasound scan in 76.8% of cases. Much of this rise has been attributed to an increase in elective inductions. In women with cervical length of more than 30 mm there is a 95% chance that spontaneous onset of labor will not occur before 40 weeks. Do not worry your child will be fine. Claims denied as not medically necessary are NOT billable to the member. has promoted a clinical guideline discouraging elective deliveries prior to 39 weeks gestation . I had a scheduled c-section in April that wasn't a necessity. Infants born between 36 and 38 weeks gestation may weigh and appear to be the same as those born later, but are more likely to Gestational age at delivery was confirmed by a first or second trimester ultrasound scan in 76.8% of cases. I understand that they do 38 weeks to be on the safe side, since my placenta is only 1 stinking centimeter from my cervix. A baby born between the 34th and 36th week of pregnancy is considered late-preterm. The neonates were evaluated in terms of the following items . The cut is usually made across your tummy, just below your bikini line. [Elective cesarean section is preferred after the completion of a minimum of 38 weeks of pregnancy]. anything after 37 weeks is a term baby. Over the course of a year, this means that this would prevent up to 6,000 stillbirths a year. This risk decreases from 37 weeks to 39 weeks of gestation, at which stage it is low. has promoted a clinical guideline discouraging elective deliveries prior to 39 weeks gestation . Mean gestational age in which cesarean section was done was similar in both groups, that is 38 and half weeks. But a new study shows that there is no significant difference between performing an elective Caesarean section in week 38 and 39. This policy affects/includes claims for the delivering provider, assistant at C-Section provider, anesthesiology A significantly increased risk was found for infants delivered by elective caesarean section at 37 and 38 weeks' gestation. The reason being is that the chances are the second baby . You may have an unplanned (emergency) c-section if . Newborns in emergency cesarean group had . All mothers who underwent elective cesarean section were operated under regional anesthesia, while general anesthesia was given to 8.52% of mothers who underwent emergency cesarean section. In 2010, the rate of elective delivery prior to 39 weeks in Washington was 15.5%. In some cases, the benefits of scheduling your c-section early outweigh any potential risks. Overall, delivery at 39 weeks via C-section is estimated to prevent 2 fetal deaths per 1000 live births. C-sections scheduled prior to 39 weeks have an increased risk of complications. Since 2010, other strategies have been implemented such as best practices for induction of labor . Washington is now at about 1%. In such patients elective cesarean section is best carried out at 37-38 weeks to avoid the increased risk of maternal mortality and morbidity from emergency as compared with elective surgery. Pros of an elective C-section. Eighty-eight . Timing of delivery seems to be the only independent variable affecting the . Summary Won't get a date until 36 weeks so a couple of weeks to wait. These findings are particularly relevant given the average GA of all Australian births is 38.7 weeks and 35.4% of elective CS occur at week 38. I'm now due a second baby soon and my consultant offered me a section at exactly 38 weeks +1 day. Methods: In this cohort study, 2086 patients were enrolled based on the inclusion and exclusion criteria. The median difference in gestational age at delivery was 6 days (38 +3; IQR 38 +1 to 38 +5 vs 39 +2; IQR 38 +6 to 39 +5). But 2019 research suggests the risks associated with C-section are double in this age group compared to vaginal delivery. She's not overally concerned by any . . Postponing elective delivery to 39 weeks compared to performing a C-section at 37 or 38 weeks of pregnancy was found to avoid an Design: Randomised controlled multicentre open-label trial. My due date is 8th May but my private OB wants to do a c-section at 38 weeks. A caesarean section (c-section) is an operation to deliver your baby. There are medical factors, reasons . I had so many complications with my third baby they did a section at 36 weeks. And the decision to undergo C-section, especially at a mother's or an obstetrician's choice . Pregnancy Week 38. Elective caesarean section and respiratory morbidity in the term and near term neonate. About 3 out of every 5 caesareans in Australia are planned. She is now 38 weeks' gestation. Long story short here (way too many details to bore you all), I'm looking at possibly having a c-section at 38w,5d. 13,258 women who had undergone an elective C-section at term. Similarly, a C section at 37 weeks or any other time can also expose you to certain risks. Hi everyone, my first baby was born by elective c-section on 38 +4 days. Studies have determined that elective delivery or elective cesarean section prior to the gestational age of 39 weeks may result in significant short term neonatal morbidity (neonatal intensive care unit admission . Main outcome measures Accordingly, scheduling of elective caesarean section 3-5 days before 39 +0 completed weeks may be an acceptable option in women in whom an acute caesarean section delivery should be avoided. Background: This study was conducted to compare neonatal complications in scheduled cesarean sections (CS) between 38 and 39 gestational weeks with CS performed after 39 gestational weeks in Iranian low -risk pregnant women. An elective caesarean section should not be . FRIDAY, Feb. 10 (HealthDay News) -- A new childbirth study says 39 weeks' gestation is the best time for elective Cesarean delivery for women who have previously delivered via C-section. Timing of elective caesarean section at term C-Obs 23 4 References 1. From my understanding of the subject, going into labor and "electing" (even if it's not really elective) to have a c-section are different because the baby was more ready to come out. Term neonates born between (37-39 wks) by elective cesarean section are likely to develop respiratory distress syndrome more than neonates born by vaginal delivery, and this risk increases for the subgroup of neonates born after elective caeserean section , i.e. Early term births, delivered at 37 and 38 weeks gestational age, also pose serious risks to babies and represent a significant cost to the healthcare system. In the mothers, timing of elective caesarean section at 38 or 39 weeks seems to carry a similar risk of adverse events. And fewer early deliveries mean fewer babies in the neonatal intensive care unit — one of the most expensive rooms . If no complications then expect to be in for 2 nights (was 3 after emergency c-section), and that was about it. In the mothers, the risk of adverse outcomes is similar with elective cesarean delivery at 38 or 39 weeks. The rate of cesarean delivery is continuously increasing with the leading indication being a previous cesarean delivery. You may also notice foul-smelling vaginal discharge, fever, and uterine pain. Elective c-sections create a greater risk of your baby being born prematurely. But 2019 research suggests the risks associated with C-section are double in this age group compared to vaginal delivery. Objectives: To investigate whether elective caesarean section before 39 completed weeks of gestation increases the risk of adverse neonatal or maternal outcomes. Elective induction — labor induced when there is no medical need to do so — before 39 weeks is known to pose health risks for newborns. Yes, absolutely. Caesarean sections should ideally be performed as near the due date as possible to avoid complications. A 3,300-gram male infant was delivered, with Apgar scores of 9 and 10. The Safest Time. Jain, L, Eaton DC. Infants born between 36 and 38 weeks gestation may weigh and appear to be the same as those born later, but are more likely to 2 . The focus on elective deliveries prior to 39 weeks was the first step in an effort to reduce the rate of C-sections in Washington State. This is not elective, so don't beat me up! "Prior studies have compared the . dc4 - 37 weeks steroids. It used to be customary to do an amnio for maturity prior to any elective C/S, but lately it is not generally done, as long as you are at least 38 weeks. As a result of recent studies, women with low-risk pregnancies are being offered labor induction at 39 to 40 weeks. Ned Tijdschr Geneeskd. Learn more in this week's Your Pregnancy Matters MedBlog. Births by elective caesarean section (CS) are rising, particularly before 39 weeks' gestation, which may be associated with unacceptably high risk of adverse neonatal outcomes. It may be due to the physician's opinion or practice patterns, maternal . Around 1 . Had a section with the first, my hospital doesn't allow VBAC, so I have no choice in the matter. 1 For the 15% or so of such women who will go into labour between 37 and 39 weeks, the inconvenience of having their caesarean "out of hours" is likely to . When a vaginal birth occurs at 38 weeks it is very different from an elective C-section at 38 weeks. Most caesarean sections are performed after 39 weeks of . Methods In this cohort study, 2086 patients were enrolled based on the inclusion and exclusion criteria. and cesarean section. before onset of labour , , with potentially severe implications The risk is decreasing with advanced gestational age and neonates . On day 3, the mother's staples were removed, and both the The group asks that doctors remind women that the of risk of placenta previa, placenta accreta and hysterectomy increase with every cesarean delivery. Physiology of fetal lung fluid clearance and the effect of labour. I had a fetal assessment test this morn at the hospital where I was told things look good!!! C-Section Too Early Risks Baby's Health. "Prior studies have compared the perinatal . C/S babies are furthur at risk from surgical delivery. A repeat low transverse cervical C-section and elective open bilateral tubal ligation were performed. When a vaginal birth occurs at 38 weeks it is very different from an elective C-section at 38 weeks. Elective delivery or early induction often leads to prematurity, increased costs, and an increased incidence of cesarean section. My first daughter was delivered via c-section at 38 weeks and i'm pregnant with another baby which i plan to deliver at 38 weeks by elective c-section. Induction of labor for so-called "impending . . Lower risk of the . I have been given the ok for a planned c-section and because I have been experiencing less fetal movements they are delivering my baby boy tomorrow!! The neonates were evaluated in terms of the following items . Between 37 and 41 weeks, this rate increases even further, with each successive week in this time frame increasing progressively from 1.3 to 4.6. Then I had my doc apt this late afternoon and doc said things look good but my blood pressure is kind of right in the middle of where it should be. The patient was admitted with pregnancy at 41 weeks' gestation. In such patients . The code O75.82 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

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