Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes

Elective repeat cesarean delivery at 37 weeks of gestation was associated with significantly increased risk of the composite adverse neonatal outcome compared to delivery at 39 weeks, with individual

Effect: adverse; adjusted odds ratio 2.1; CI: 95% CI, 1.7 to 2.5

Elective repeat cesarean delivery at 38 weeks of gestation was associated with significantly increased risk of the composite adverse neonatal outcome compared to delivery at 39 weeks, with individual

Effect: adverse; adjusted odds ratio 1.5; CI: 95% CI, 1.3 to 1.7

Delivery at 40 weeks was not associated with significantly increased morbidity as compared with delivery at 39 weeks.

Effect: null; adjusted odds ratio not significantly elevated

Delaying elective repeat cesarean delivery beyond 40 weeks was associated with increased rates of neonatal adverse outcomes, with complication magnitudes at 41 weeks similar to those at 38 weeks and a

Effect: adverse; P for trend <0.001