Neonatální výsledky u novorozenců nízké porodní hmotnosti v brazilském referenčním centru polikliniky

Translated title of the contribution: Delivery modes and the neonatal outcomes of low birth-weight neonates in a Brazilian reference health center

R. Negrini, L.C. Assef, F. Da Silva Costa, E. Araujo Junior

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objective: This study compared the neonatal results of low weight neonates born by cesarean and vaginal delivery. Design: A retrospective cohort study. Setting: Maternity of Hospital-Irmandade Santa Casa de Misericórdia de Sao Paulo, Brazil. Methods: The analysis included the neonates born alive, of unique pregnancy, <2000 g from October 1999 to July 2013. To obtain the information about the neonatal period, as well as their Apgar score in the 1st and 5th min of life, a search in the database of a neonatal intensive care unit was performed. Results: In total, 830 neonates were included as per the study criteria. Of these, 519 (62.5%) were born by cesarean delivery and 311 (37.5%) by vaginal delivery. There was a statistically significant difference in the incidence of neonatal complications, with better results in the neonates born by vaginal delivery, except for the group with neonates <1500 g. In this group, there was a higher incidence of intracranial hemorrhage and death before discharge from the hospital. There was also a higher incidence of respiratory distress syndrome and intraventricular hemorrhage in neonates born by vaginal delivery, in all weight groups. Comparing the Apgar scores, there was a statistically significant difference between the delivery modes, with better results observed in the ones born by vaginal delivery. However, the opposite was observed in the group with neonates <1000 g. Conclusion: There was no indication of cesarean delivery benefits in neonates 1000-2000 g. However, the opposite was observed when the neonates were <1000 g.

Translated title of the contributionDelivery modes and the neonatal outcomes of low birth-weight neonates in a Brazilian reference health center
Original languageCzech
Pages (from-to)366-371
Number of pages6
JournalCzech Gynaecology
Volume80
Issue number5
Publication statusPublished - Oct 2015
Externally publishedYes

Keywords

  • Caesarean section
  • Intracranial hemorrhage
  • Low birth weight
  • Respiratory distress syndrome
  • Vaginal delivery

Cite this