Terada Kayoko, Ito Marie, Kumasaka Sakae, Suzuki Shunji
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital.
J Nippon Med Sch. 2014;81(4):285-8. doi: 10.1272/jnms.81.285.
The present study examined the relation between the timing of elective cesarean delivery at term and neonatal respiratory outcomes at our institution. From 2005 through 2013, 1,951 elective cesarean singleton deliveries were performed at term. Of the neonates, 141 (7%) had respiratory disorders requiring oxygen supplementation. In comparison to the incidence of respiratory disorders in neonates delivered at full term (39-40 weeks), the incidences in neonates delivered at ≤38+1/7 weeks' and at 41 weeks' gestation were significantly higher. Uncomplicated elective cesarean singleton delivery should be avoided at 38+1 weeks or earlier, and we also pay attention to the respiratory outcomes of neonates delivered by elective cesarean section at 41 weeks' gestation.
本研究探讨了我院足月择期剖宫产的时机与新生儿呼吸结局之间的关系。2005年至2013年期间，共进行了1951例足月择期剖宫产单胎分娩。其中，141例（7%）新生儿患有需要吸氧的呼吸系统疾病。与足月（39 - 40周）分娩的新生儿呼吸系统疾病发生率相比，孕38 + 1/7周及以前和孕41周分娩的新生儿发生率显著更高。应避免在孕38 + 1周或更早进行无并发症的择期剖宫产单胎分娩，同时我们也关注孕41周择期剖宫产分娩新生儿的呼吸结局。
