Caesarean delivery and outcome in very low birthweight infants | Zendy

Paul David A | Zendy; Sciscione Anthony | Zendy; Leef Kathleen H | Zendy; Stefano John L | Zendy

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Caesarean delivery and outcome in very low birthweight infants

Author(s) -

Paul David A,

Sciscione Anthony,

Leef Kathleen H,

Stefano John L

Publication year - 2002

Publication title -

australian and new zealand journal of obstetrics and gynaecology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.734

H-Index - 65

eISSN - 1479-828X

pISSN - 0004-8666

DOI - 10.1111/j.0004-8666.2002.00047.x

Subject(s) - medicine , caesarean delivery , caesarean section , vaginal delivery , obstetrics , odds ratio , gestational age , confounding , intraventricular hemorrhage , neonatal intensive care unit , pediatrics , population , low birth weight , birth weight , pregnancy , genetics , environmental health , biology

Objective To determine the relationship between mode of delivery, intraventricular haemorrhage (IVH), and mortality in very low birthweight (VLBW) infants. Study design A historical cohort study of infants admitted to a single level III neonatal intensive care unit during a five‐year period. Infants < 1500 g born by caesarean delivery (n = 400) were compared to those born by vaginal delivery (n = 305). Results After controlling for potential confounding variables including: gestational age, fetal presentation, and multiple birth, caesarean delivery was not associated with a decreased odds of IVH (odds ratio 1.2, 95% CI 0.7–2.0), severe IVH (1.9, 0.9–4.0), or mortality (1.2, 0.6–2.4). Conclusions In our population of very low birthweight infants, caesarean delivery is not associated with a decreased risk for mortality or intraventricular haemorrhage.

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