TY  - BOOK
AU  - Laughon, S Katherine
TI  - Neonatal mortality by attempted route of delivery in early preterm birth
SN  - 0002-9378
KW  - *Cesarean Section/sn [Statistics & Numerical Data]
KW  - *Delivery, Obstetric/sn [Statistics & Numerical Data]
KW  - *Infant Mortality
KW  - *Labor Presentation
KW  - *Premature Birth
KW  - Abnormalities, Multiple/ep [Epidemiology]
KW  - Asphyxia Neonatorum/mo [Mortality]
KW  - Cerebral Hemorrhage/mo [Mortality]
KW  - Cohort Studies
KW  - Female
KW  - Fetal Membranes, Premature Rupture/ep [Epidemiology]
KW  - Gestational Age
KW  - Humans
KW  - Infant, Newborn
KW  - Multivariate Analysis
KW  - Obstetric Labor, Premature/ep [Epidemiology]
KW  - Pre-Eclampsia/ep [Epidemiology]
KW  - Pregnancy
KW  - Trial of Labor
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology, Maternal-Fetal Medicine
KW  - Comparative Study
KW  - Journal Article
KW  - Research Support, N.I.H., Intramural
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - 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
UR  - http://dx.doi.org/10.1016/j.ajog.2012.06.023
ER  -