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J Matern Fetal Neonatal Med. 2003 May;13(5):323-7.

Cesarean section is not protective against adverse neurological outcome in survivors of preterm delivery due to overt chorioamnionitis.

Author information

1
Department of Obstetrics and Gynecology, Shoaare-Zedek Medical Center Jerusalem, affiliated to Ben Gurion University, Beer Sheva, Israel.

Abstract

OBJECTIVE:

To determine whether the mode of delivery has a protective value on the immediate adverse neonatal neurological outcome of infants born from pregnancies complicated by preterm chorioamnionitis.

METHODS:

A comparison of the immediate and long-term neurological outcome of preterm neonates (24-34 weeks' gestation) of pregnancies complicated by chorioamnionitis, was made between those born by Cesarean section and by vaginal delivery.

RESULTS:

Of the 73 newborns, 54 (74%) survived the neonatal period; two (2.7%) had incomplete records, leaving 71 for analysis. Thirty (42.2%) were delivered by Cesarean section and 41 (57.7%) vaginally. The obstetric and neonatal characteristics were comparable. Twenty-four (80%) survived in the Cesarean group and 30 (73.2%) in the vaginal delivery group (NS). There was no significant difference in the immediate adverse neonatal neurological outcome between Cesarean and vaginal deliveries.

CONCLUSIONS:

The mode of delivery did not significantly affect the immediate neurological status of preterm infants exposed to antenatal intrauterine infection.

PMID:
12916683
DOI:
10.1080/jmf.13.5.323.327
[Indexed for MEDLINE]
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