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Table 1 PICOS

From: (Update of a) systematic review on the impact of elective early term (< 39th gestational week) caesarean sections on maternal and neonatal health - a protocol

Population

Women with electively planned caesarean section beyond prematurity (≥ 37th gestational week), regardless of prior pregnancy or prior birth mode. WHO Stratum A

Intervention

Elective caesarean section at 37th + 0 until 38th + 6

Comparator

Elective caesarean section ≥ 39th + 0

Outcome

Primary outcome:

 Neonatal death, neonatal intensive care unit admission and maternal death

Secondary outcome:

 Neonatal: intensive care unit length of stay, respiratory morbidity, RDS, TTN, pneumothorax, hypoglycemia*, Apgar score, hyperbilirubinemia needing phototherapy, birth weight and near miss

Maternal: hysterectomy, bleeding needing transfusion, near miss and adverse events

Study type

RCT, quasi RCT and cohort study

  1. RCT randomized controlled trial, RDS respiratory distress syndrome, TTN Transient tachypnea of the neonate
  2. *Depending on the age at assessment: 0–3 h < 2.0 mmol/l; 3–24 h < 2.2 mmol/l; > 24 h < 2.5 mmol/l [30]