Maternal risk stratification and planned birth improve pregnancy outcomes at term: a population-based cohort study
The risks of severe maternal and perinatal outcomes including maternal-infant separation are directly associated with antenatally determined maternal risk strata. Women in the high-risk category had the highest odds of all adverse outcomes. However, compared with expectant management, planned birth at 38<sup>+0</sup> to 39<sup>+6</sup> weeks, especially by scheduled cesarean delivery, was associated with the lowest odds of adverse outcomes, particularly for women in the high-risk category.
Authors
- Vicki Flenady (ORCID: https://orcid.org/0000-0001-8114-7677)
- Sailesh I.S. Kumar (ORCID: https://orcid.org/0000-0003-0832-4811)
- Susannah Hopkins Leisher (ORCID: https://orcid.org/0000-0002-0191-8863)
- Kylie Crawford (ORCID: https://orcid.org/0000-0002-9403-0096)
- Jesrine Hong (ORCID: https://orcid.org/0000-0001-8585-2357)
- Shannyn Rosser
- Cynthia Wong (ORCID: https://orcid.org/0000-0002-9389-5020)
- Robert Silver
Institutions
- Mater Health Services (AU)
- University of Utah (US)
- Mater Research (AU)
- Utah Department of Health (US)
- Mater Mothers' Hospital (AU)
- National Health and Medical Research Council (AU)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2025-10-15
- DOI
- https://doi.org/10.1016/j.ajog.2025.10.005
- Primary Topic
- Birth, Development, and Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00