Mode of delivery and outcomes in very low-birth-weight infants in the vertex presentation.

Publication/Presentation Date

3-1-2011

Abstract

We sought to determine the relationship between mode of delivery and neonatal outcomes in infantssingleton, vertex-presenting infants weighingdelivery, and outcomes were compared with univariable and multivariable analysis. Of the 937 infants that met inclusion criteria, 402 (42.9%) underwent cesarean delivery. After controlling for potential confounding variables, there was no increased odds of death (odds ratio [OR] = 1.6: 95% confidence interval [CI] 0.8 to 3.0), severe intraventricular hemorrhage (IVH; OR = 1.2: 95% CI 0.7 to 1.2), necrotizing enterocolitis (OR = 0.82: 95% CI 0.35 to 1.9), or sepsis (OR = 0.79: 95% CI 0.44 to 13) in the vaginally delivered group compared with the cesarean group. In a post hoc analysis, this study had 80% power to detect an absolute difference in death or severe IVH of 6% between study groups, with an α of 0.05. In our population of very low-birth-weight infants, there was no association between mode of delivery and neonatal outcomes.

Volume

28

Issue

3

First Page

195

Last Page

200

ISSN

1098-8785

Disciplines

Medicine and Health Sciences

PubMedID

20818596

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

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