TITLE:
Impact of Delivery Mode on Morbidity in Preterm Infants with Very Low Birth Weights (
AUTHORS:
Manuela Colle, José Mauro Madi, Luciano Selistre, Gabriela Françoes Rostirolla, Marcelo Costamilan Rombaldi
KEYWORDS:
Prematurity, Very Low Birth Weight Newborns, Mode of Delivery, Epidemiology, Morbidity
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.10,
October
24,
2024
ABSTRACT: The mode of delivery and gestational age for very-low-birth-weight (VLBW) preterm infants are not yet well established and are constant topics of debate. Objective: To analyze the impact of delivery mode on morbidity in preterm infants weighing less than 1500 g. Results: Among 21,957 births, 81 were analyzed; 53 were delivered vaginally, and 28 were delivered by cesarean section. The median maternal age, gestational age and body mass index among those delivered vaginally and by cesarean section were 20 years and 22.5 years, 27.6 weeks and 30.1 weeks, and 26.0 kg/m2 and 27.8 kg/m2, respectively. With respect to neonatal blood gas parameters, for those born vaginally and by cesarean section, the median pH was 7.32 and 7.24, the pCO2 was 41.5 mmHg and 51.1 mmHg, and the pO2 was 22.3 mmHg and 16 mmHg. The median fetal weight among those born by cesarean section and vaginally were 1180 g and 955 g, respectively. The median Apgar scores at the first and fifth minutes among those born by cesarean section and vaginally were 5.00 and 8.00 and 4.50 and 7.00, respectively. Conclusion: There was no significant difference between the results of vaginal and cesarean delivery for VLBW infants. Thus, further studies on this subject are needed.