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https://doi.org/10.22514/SV142.102018.7

Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section

DARJAN KARDUM ; Neonatal Intensive Care Unit, Department of Pediatrics University Hospital Osijek J. Huttlera 4, 31000 Osijek School of Medicine University J. J. Strossmayer Osijek, Croatia
BORIS FILIPOVIĆ GRČIĆ
ANDRIJANA MULLER
SANDRO DESSARDO

Puni tekst: engleski, pdf (150 KB) str. 46-50 preuzimanja: 84* citiraj
APA 6th Edition
KARDUM, D., FILIPOVIĆ GRČIĆ, B., MULLER, A. i DESSARDO, S. (2018). Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section. Signa vitae, Volume 14 (2), 46-50. https://doi.org/10.22514/SV142.102018.7
MLA 8th Edition
KARDUM, DARJAN, et al. "Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section." Signa vitae, vol. Volume 14, br. 2, 2018, str. 46-50. https://doi.org/10.22514/SV142.102018.7. Citirano 20.11.2019.
Chicago 17th Edition
KARDUM, DARJAN, BORIS FILIPOVIĆ GRČIĆ, ANDRIJANA MULLER i SANDRO DESSARDO. "Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section." Signa vitae Volume 14, br. 2 (2018): 46-50. https://doi.org/10.22514/SV142.102018.7
Harvard
KARDUM, D., et al. (2018). 'Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section', Signa vitae, Volume 14(2), str. 46-50. https://doi.org/10.22514/SV142.102018.7
Vancouver
KARDUM D, FILIPOVIĆ GRČIĆ B, MULLER A, DESSARDO S. Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section. Signa vitae [Internet]. 2018 [pristupljeno 20.11.2019.];Volume 14(2):46-50. https://doi.org/10.22514/SV142.102018.7
IEEE
D. KARDUM, B. FILIPOVIĆ GRČIĆ, A. MULLER i S. DESSARDO, "Outcomes of very low birth weight infants born by vaginal delivery versus cesarean section", Signa vitae, vol.Volume 14, br. 2, str. 46-50, 2018. [Online]. https://doi.org/10.22514/SV142.102018.7

Sažetak
The optimal mode of delivery for very low birth weight (VLBW) infants remains controversial. Despite lacking evidence of benefits regarding neonatal outcomes, cesarean section delivery is becoming more prevalent, particularly in early gestational ages. In our retrospective, multicentr study data were collected for very low birth weight infants born in two Croatian perinatal regions in a 3 – year period (2014. – 2016.). The final cohort consisted of 255 very low birth weight infants. The rate of delivery via cesarean section was 74.1% (189/255) and is one of the highest reported in the literature so far. Infants born vaginally were born at an lower gestational age, had lower 1- and 5-minute Apgar scores, lower birth weights, and prognosis as expressed by higher Clinical risk index for babies (CRIB) scores and were more often born following chorioamnionitis and had higher mortality rate until 7 days of hospitalization. Univariate logistic regression analysis showed that cesarean section reduced the risk of death before 7 days of life (OR 0.34 95% CI 0.182-0.667). This significance was lost after multivariate analysis. In infants surviving after 7 days of hospitalization, rates of short-term neonatal morbidity (severe intracranial hemorrhage, cystic periventricular leukomalacia (cPVL), late-onset sepsis, necrotizing enterocolitis, kidney injury and retinopathy of prematurity requiring interventions) were not significant when comparing infants born vaginally and those born following cesarean section.

Ključne riječi
cesarean section; very low birth weight infants; vaginal delivery

Hrčak ID: 217600

URI
https://hrcak.srce.hr/217600

Posjeta: 169 *