دورية أكاديمية
Mode of delivery according to Robson classification and perinatal outcomes in restricted and small for gestational age fetuses.
| العنوان: | Mode of delivery according to Robson classification and perinatal outcomes in restricted and small for gestational age fetuses. |
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| المؤلفون: | Mazzola JB; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Zamarian ACP; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Caetano ACR; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Drumond LGS; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Marçal VMG; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Botelho A; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Araujo E; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Sun SY; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Nardozza LMM; Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil. |
| المصدر: | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2024 Jul 26; Vol. 46. Date of Electronic Publication: 2024 Jul 26 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Medical Publishers Country of Publication: Brazil NLM ID: 9214757 Publication Model: eCollection Cited Medium: Internet ISSN: 1806-9339 (Electronic) Linking ISSN: 01007203 NLM ISO Abbreviation: Rev Bras Ginecol Obstet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2016- > : São Paulo, Brazil : Thieme Medical Publishers Original Publication: [São Paulo, Brazil] : Medisa Editora |
| مواضيع طبية MeSH: | Infant, Small for Gestational Age* , Fetal Growth Retardation*/classification , Delivery, Obstetric* , Cesarean Section*/statistics & numerical data , Pregnancy Outcome*, Humans ; Female ; Pregnancy ; Retrospective Studies ; Infant, Newborn ; Adult |
| مستخلص: | Objective: To evaluate the mode of delivery according to Robson classification (RC) and the perinatal outcomes in fetal growth restriction (FGR) and small for gestational age (SGA) fetuses. Methods: Retrospective cohort study by analyzing medical records of singleton pregnancies from two consecutive years (2018 and 2019). FGR was defined according to Delphi Consensus. The Robson groups were divided into two intervals (1-5.1 and 5.2-10). Results: Total of 852 cases were included: FGR (n = 85), SGA (n = 20) and control (n=747). FGR showed higher percentages of newborns < 1,500 grams (p<0.001) and higher overall cesarean section (CS) rates (p<0.001). FGR had the highest rates of neonatal resuscitation and neonatal intensive care unit admission (p<0.001). SGA and control presented higher percentage of patients classified in 1 - 5.1 RC groups, while FGR had higher percentage in 5.2 - 10 RC groups (p<0.001). FGR, SGA and control did not differ in the mode of delivery in the 1-5.1 RC groups as all groups showed a higher percentage of vaginal deliveries (p=0.476). Conclusion: Fetuses with FGR had higher CS rates and worse perinatal outcomes than SGA and control fetuses. Most FGR fetuses were delivered by cesarean section and were allocated in 5.2 to 10 RC groups, while most SGA and control fetuses were allocated in 1 to 5.1 RC groups. Vaginal delivery occurred in nearly 60% of FGR allocated in 1-5.1 RC groups without a significant increase in perinatal morbidity. Therefore, the vaginal route should be considered in FGR fetuses. Competing Interests: Conflicts to interest: none to declare. |
| فهرسة مساهمة: | Keywords: Cesarean section; Fetal growth retardation; Fetus; Gestational age; Infant, newborn; Infant, small for gestational age; Pregnancy outcome; Robson classification |
| تواريخ الأحداث: | Date Created: 20240823 Date Completed: 20240823 Latest Revision: 20240823 |
| رمز التحديث: | 20240823 |
| مُعرف محوري في PubMed: | PMC11341193 |
| DOI: | 10.61622/rbgo/2024rbgo30 |
| PMID: | 39176208 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1806-9339 |
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| DOI: | 10.61622/rbgo/2024rbgo30 |