Vaginal delivery versus caesarean section in preterm breech delivery: a systematic review
| Autor: | Jan G. Nijhuis, Jelle M. Schaaf, Marjolein Kok, Ben W.J. Mol, Lester Bergenhenegouwen, Linda J. E. Meertens, Hubertina C.J. Scheepers |
|---|---|
| Přispěvatelé: | Epidemiologie, Obstetrie & Gynaecologie, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Clinical epidemiology, RS: GROW - Developmental Biology, RS: GROW - R4 - Reproductive and Perinatal Medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Neonatal respiratory distress syndrome
Pediatrics medicine.medical_specialty BIRTH medicine.medical_treatment Breech presentation INFANTS Cochrane Library TERM law.invention MORBIDITY Randomized controlled trial law Pregnancy Premature or preterm delivery Infant Mortality medicine Humans Caesarean section MODE Neonatal mortality Vaginal delivery business.industry Cesarean Section NEONATAL-MORTALITY Infant Newborn Obstetrics and Gynecology Gestational age medicine.disease Delivery Obstetric Caesarean Section Treatment Outcome Reproductive Medicine Infant Extremely Premature Systematic review Premature Birth Female TRIAL business Infant Premature Cohort study |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology, 172, 1-6. Elsevier |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2013.10.017 |
| Popis: | There is controversy on the preferred mode of delivery (vaginal delivery (VD) versus caesarean section (CS)) in preterm breech delivery in relation to neonatal outcome. While CS is supposed to be safer for the fetus, arguments against CS can be the increased risk of maternal morbidity, risks for future pregnancies, and costs. Moreover, neonatal respiratory distress syndrome occurs more frequently after CS compared to VD.In the past, several RCTs have been started on this subject, but they were all preliminary and stopped due to recruitment difficulties. As the Cochrane review of these RCT's reported on 116 women only, knowledge on the effectiveness of CS and VD can at present only be obtained from non-randomized studies.We performed a systematic review and meta-analysis of non-randomized studies that assessed the association between mode of delivery and neonatal mortality in women with preterm breech presentation. We searched Pubmed, Embase and the Cochrane library for articles comparing neonatal mortality after VD versus CS in preterm breech presentation (gestational age 25(+0) till 36(+6) weeks). Seven studies, involving a total of 3557 women, met the eligibility criteria and were included in this systematic review. The weighted risk of neonatal mortality was 3.8% in the CS group and 11.5% in the VD group (pooled RR 0.63 (95% CI 0.48-0.81)). We conclude that cohort studies indicate that CS reduces neonatal mortality as compared to (C). 2013 Elsevier Ireland Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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