Am J Perinatol. 2025 Jul 30. doi: 10.1055/a-2672-2713. Online ahead of print.
ABSTRACT
OBJECTIVE: We aimed to assess neonatal outcomes by mode of delivery and to evaluate the value of achieving daytime delivery among neonates undergoing a planned induction of labor (IOL).
METHOD: This was a retrospective study of pregnancies with prenatally diagnosed d-TGA with an IVS receiving care at a single tertiary care referral center from 2020-23. Inclusion required prenatal diagnosis of d-TGA with an IVS and surgical care at the referral center. The primary outcome was a composite of neonatal outcomes. Pearson chi-square or Fisher’s exact test were performed as appropriate.
RESULTS: We identified 90 cases of prenatally diagnosed d-TGA, of which 68 (76%) underwent timed IOL and 46 (68%) achieved vaginal delivery. The primary outcome occurred in 16 neonates (89%) who delivered by cesarean and 47 neonates (78%) who underwent a planned timed IOL (p=0.26). Among individuals undergoing IOL, the primary outcome occurred in 29 neonates (73%) who delivered during the daytime and 18 (90%) who delivered after-hours (p=0.19).
CONCLUSION: We found that in cases of prenatally diagnosed d-TGA with an IVS , IOL is feasible. Neonates with d-TGA with an IVS had similar surgical outcomes when induced and delivered at this single tertiary care center, regardless of delivery time.
PMID:40738137 | DOI:10.1055/a-2672-2713
