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

S. Grisaru-Granovsky, M. S. Schimmel, R. Granovsky, Y. Z. Diamant, A. Samueloff

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish
Pages (from-to)323-327
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume13
Issue number5
DOIs
StatePublished - 1 May 2003

Keywords

  • Cerebral palsy
  • Cesarean section
  • Chorioamnionitis
  • Low birth weight
  • Periventricular leukomalacia
  • Preterm delivery
  • Vaginal delivery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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