Mode of delivery and outcomes in very low-birth-weight infants in the vertex presentation.
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.
Published In/Presented At
Durie, D. E., Sciscione, A. C., Hoffman, M. K., Mackley, A. B., & Paul, D. A. (2011). Mode of delivery and outcomes in very low-birth-weight infants in the vertex presentation. American journal of perinatology, 28(3), 195–200. https://doi.org/10.1055/s-0030-1266156
Medicine and Health Sciences
Department of Obstetrics and Gynecology