Normal view MARC view ISBD view

Neonatal mortality by attempted route of delivery in early preterm birth.

MedStar author(s):

Citation: American Journal of Obstetrics & Gynecology. 207(2):117.e1-8, 2012 Aug.PMID: 22840720Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology, Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Comparative Study | Journal Article | Research Support, N.I.H., IntramuralSubject headings: *Cesarean Section/sn [Statistics & Numerical Data] | *Delivery, Obstetric/sn [Statistics & Numerical Data] | *Infant Mortality | *Labor Presentation | *Premature Birth | Abnormalities, Multiple/ep [Epidemiology] | Asphyxia Neonatorum/mo [Mortality] | Cerebral Hemorrhage/mo [Mortality] | Cohort Studies | Female | Fetal Membranes, Premature Rupture/ep [Epidemiology] | Gestational Age | Humans | Infant, Newborn | Multivariate Analysis | Obstetric Labor, Premature/ep [Epidemiology] | Pre-Eclampsia/ep [Epidemiology] | Pregnancy | Trial of LaborLocal holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:

0002-9378

Name of journal: American journal of obstetrics and gynecologyAbstract: CONCLUSION: Attempted VD for vertex presentation has a high success rate with no difference in neonatal mortality unlike breech presentation. Published by Mosby, Inc.OBJECTIVE: We sought to study neonatal outcomes in early preterm births by delivery route.RESULTS: Delivery precursors were classified as maternal or fetal conditions (45.7%), preterm premature rupture of membranes (37.7%), and preterm labor (16.6%). For vertex presentation, 79% attempted VD and 84% were successful. There was no difference in neonatal mortality. For breech presentation, at 24 0/7 to 27 6/7 weeks' gestation, 31.7% attempted VD and 27.6% were successful; neonatal mortality was increased (25.2% vs 13.2%, P = .003). At 28 0/7 to 31 6/7 weeks' gestation, 30.5% attempted VD and 17.2% were successful; neonatal mortality was increased (6.0% vs 1.5%, P = .016).STUDY DESIGN: Delivery precursors were analyzed in 4352 singleton deliveries, 24 0/7 to 31 6/7 weeks' gestation. In a subset (n = 2906) eligible for a trial of labor, neonatal mortality in attempted vaginal delivery (VD) was compared to planned cesarean delivery stratified by presentation.All authors: Chen Z, Laughon SK, Raju TN, Reddy UM, Sun L, Zhang JDigital Object Identifier:

http://dx.doi.org/10.1016/j.ajog.2012.06.023

Date added to catalog: 2013-09-17

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		22840720

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

CONCLUSION: Attempted VD for vertex presentation has a high success rate with no difference in neonatal mortality unlike breech presentation. Published by Mosby, Inc.

OBJECTIVE: We sought to study neonatal outcomes in early preterm births by delivery route.

RESULTS: Delivery precursors were classified as maternal or fetal conditions (45.7%), preterm premature rupture of membranes (37.7%), and preterm labor (16.6%). For vertex presentation, 79% attempted VD and 84% were successful. There was no difference in neonatal mortality. For breech presentation, at 24 0/7 to 27 6/7 weeks' gestation, 31.7% attempted VD and 27.6% were successful; neonatal mortality was increased (25.2% vs 13.2%, P = .003). At 28 0/7 to 31 6/7 weeks' gestation, 30.5% attempted VD and 17.2% were successful; neonatal mortality was increased (6.0% vs 1.5%, P = .016).

STUDY DESIGN: Delivery precursors were analyzed in 4352 singleton deliveries, 24 0/7 to 31 6/7 weeks' gestation. In a subset (n = 2906) eligible for a trial of labor, neonatal mortality in attempted vaginal delivery (VD) was compared to planned cesarean delivery stratified by presentation.

English