Tim A Bruckner1, Yvonne W Cheng, Aaron B Caughey. 1. Division of Epidemiology, University of California, Berkeley, School of Public Health, Berkeley, CA, USA. brucknet@berkeley.edu
Abstract
OBJECTIVE: The purpose of this study was to examine whether postterm gestational age increases the risk of neonatal mortality. STUDY DESIGN: We retrieved data from 1,815,811 liveborn infants in California from 1999 to 2003. We excluded multiple births and congenital anomalies, as well as infants with a gestational age of less than 38 w0d, or greater than 42 w6d, weeks. We used multivariable logistic regression models to adjust for demographic variables thought to confound the association. RESULTS: Compared to infants born at 38, 39, or 40 weeks, those born at 41 w0d to 42 w6d have a greater odds of neonatal mortality (aOR: 1.34, 95% CI, 1.08-1.65). Subdividing by gestational week, infants delivered at 41 w0d to 41 w6d showed elevated mortality relative to earlier term births (aOR: 1.37, 95% CI, 1.08-1.73). Additional analyses support this increased neonatal mortality across all normal birthweight categories. CONCLUSION: Infants born beyond 41 w0d of gestation experience greater neonatal mortality relative to term infants born between 38 w0d and 40 w6d.
OBJECTIVE: The purpose of this study was to examine whether postterm gestational age increases the risk of neonatal mortality. STUDY DESIGN: We retrieved data from 1,815,811 liveborn infants in California from 1999 to 2003. We excluded multiple births and congenital anomalies, as well as infants with a gestational age of less than 38 w0d, or greater than 42 w6d, weeks. We used multivariable logistic regression models to adjust for demographic variables thought to confound the association. RESULTS: Compared to infants born at 38, 39, or 40 weeks, those born at 41 w0d to 42 w6d have a greater odds of neonatal mortality (aOR: 1.34, 95% CI, 1.08-1.65). Subdividing by gestational week, infants delivered at 41 w0d to 41 w6d showed elevated mortality relative to earlier term births (aOR: 1.37, 95% CI, 1.08-1.73). Additional analyses support this increased neonatal mortality across all normal birthweight categories. CONCLUSION:Infants born beyond 41 w0d of gestation experience greater neonatal mortality relative to term infants born between 38 w0d and 40 w6d.
Authors: Melissa G Rosenstein; Yvonne W Cheng; Jonathan M Snowden; James M Nicholson; Amy E Doss; Aaron B Caughey Journal: Am J Obstet Gynecol Date: 2012-04 Impact factor: 8.661
Authors: Jessica M Page; Jonathan M Snowden; Yvonne W Cheng; Amy E Doss; Melissa G Rosenstein; Aaron B Caughey Journal: Am J Obstet Gynecol Date: 2013-05-23 Impact factor: 8.661
Authors: Melissa G Rosenstein; Yvonne W Cheng; Jonathan M Snowden; James M Nicholson; Aaron B Caughey Journal: Obstet Gynecol Date: 2012-07 Impact factor: 7.661
Authors: Tim A Bruckner; Samantha Gailey; Abhery Das; Alison Gemmill; Joan A Casey; Ralph Catalano; Gary M Shaw; Jennifer Zeitlin Journal: BMC Pregnancy Childbirth Date: 2021-07-02 Impact factor: 3.007