| Autor: |
Simarojana, N., Pataradool, K. |
| Předmět: |
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| Zdroj: |
Journal of the Medical Association of Thailand; 2019 Supplement, Vol. 102, p49-53, 5p |
| Abstrakt: |
Objective: To determine the impact of mode of delivery on neonatal outcomes in appropriately grown very to moderately preterm infants. Materials and Methods: A retrospective cohort study was performed on 190 singleton pregnant women who gave birth to an appropriately grown infant at 28+0 to 33+6 weeks of gestation in our institution between 2011 and 2014. The study group (n = 95) comprised women who had undergone cesarean delivery. The control group (n = 95) included those who had vaginal delivery. Both groups were matched 1: 1 by gestational age at delivery. Neonatal outcomes were compared between the two groups. Multiple logistic regression analysis was used to determine the risk of neonatal complications. Results: Complete data of all 190 women were obtained. According to univariable analysis, cesarean delivery increased the risk of 5-minute Apgar score <7 by threefold (95% confidence interval 1.12 to 8.06) compared to vaginal delivery. The risk remained significant after controlling for confounding factors (adjusted odds ratio = 4.33; 95% confidence interval 1.16 to 16.13). There were no significant differences between both groups in terms of respiratory distress, sepsis, intraventricular hemorrhage, seizure and neonatal death. Conclusion: In appropriately grown infants who were born at 28+0 to 33+6 weeks of gestation, cesarean delivery did not improve neonatal outcomes compared to vaginal delivery. On the other hand, it increased the risk of 5-minute Apgar score <7. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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