دورية أكاديمية
Mode of delivery and outcomes in very low-birth-weight infants in the vertex presentation.
| العنوان: | Mode of delivery and outcomes in very low-birth-weight infants in the vertex presentation. |
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| المؤلفون: | Durie DE; Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA. danielledurie@gmail.com, Sciscione AC, Hoffman MK, Mackley AB, Paul DA |
| المصدر: | American journal of perinatology [Am J Perinatol] 2011 Mar; Vol. 28 (3), pp. 195-200. Date of Electronic Publication: 2010 Sep 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme-Stratton Country of Publication: United States NLM ID: 8405212 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-8785 (Electronic) Linking ISSN: 07351631 NLM ISO Abbreviation: Am J Perinatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Thieme-Stratton, 1983- |
| مواضيع طبية MeSH: | Infant Mortality* , Labor Presentation* , Pregnancy Outcome*, Delivery, Obstetric/*methods, Adolescent ; Adult ; Cerebral Hemorrhage/epidemiology ; Cerebral Ventricles ; Cesarean Section/adverse effects ; Cesarean Section/mortality ; Delivery, Obstetric/adverse effects ; Delivery, Obstetric/mortality ; Enterocolitis, Necrotizing/epidemiology ; Female ; Humans ; Infant, Newborn ; Infant, Very Low Birth Weight ; Odds Ratio ; Pregnancy ; Retrospective Studies ; Sepsis/epidemiology ; Young Adult |
| مستخلص: | We sought to determine the relationship between mode of delivery and neonatal outcomes in infants <1500 g in a vertex presentation. This was a retrospective cohort study of singleton, vertex-presenting infants weighing <1500 g in a level III neonatal intensive care unit between July 1993 and July 2006. Infants were divided into vaginal or cesarean delivery, 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. (© Thieme Medical Publishers.) |
| تواريخ الأحداث: | Date Created: 20100907 Date Completed: 20110725 Latest Revision: 20110303 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1055/s-0030-1266156 |
| PMID: | 20818596 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1098-8785 |
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| DOI: | 10.1055/s-0030-1266156 |