期刊
JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION
卷 50, 期 8, 页码 -出版社
ELSEVIER MASSON, CORP OFF
DOI: 10.1016/j.jogoh.2021.102136
关键词
Cesarean delivery; Low birthweight; Perinatal outcome; Second stage; Vacuum extraction
A retrospective cohort study compared maternal and neonatal outcomes of second stage emergent cesarean delivery (ECD) versus vacuum-assisted delivery (VAD) of low birthweight neonates. The primary outcome was a composite adverse neonatal outcome, with baseline characteristics similar between the ECD and VAD groups. The study found that while the rate of Apgar score < 7 at 1 min was higher in the ECD group, other neonatal and maternal outcomes did not significantly differ between the two groups.
Objective: To determine maternal and neonatal outcomes among women undergoing second stage emergent cesarean delivery (ECD) versus vacuum-assisted delivery (VAD) of low birthweight neonates. Materials and methods: A retrospective cohort study from two tertiary medical centers. We included women who underwent either ECD or VAD during the second stage of labor, and delivered neonates with a birthweight of <2500 g during 2011-2019. Characteristics and outcomes were compared between the groups. The primary outcome was the rate of a composite adverse neonatal outcome, defined as the presence of >= 1 of the following: Apgar 5 min < 7, respiratory distress syndrome, neonatal intensive care unit admission, mechanical ventilation and intrapartum fetal death. Results: The study cohort included 611 patients, of whom 46 had ECD and 565 had VAD. Baseline characteristics did not differ between the groups. The rate of Apgar score < 7 at 1 min was higher among the ECD group]10 (22%) vs. 29 (5%), OR (95% CI) 5.1 (2.3-11.3), p < 0.001[. Other neonatal and maternal outcomes were similar in both groups. Conclusions: Neonatal and maternal outcomes do not differ substantially between ECD and VAD of neonates weighing <2500 g. This information may be useful when contemplating the preferred mode of delivery in this setting. (C) 2021 Elsevier Masson SAS. All rights reserved.
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