sepsis). Logistic regression was used to account for variation between cohorts. RESULTS: After exclusion, 71 vaginal deliveries of periviable neonates were included in the cohort (54 cephalic, 17 non-cephalic). Baseline maternal characteristics for the vertex and non-vertex cohorts are in Table 1. For the primary outcome, the rate of fetal head entrapment was 2/17 (11.8%). Survival to discharge was higher among cephalic infants (40/54 74.1% vs 7/17 41.2%, p-value 0.01, OR 0.2 95%CI 0.1-0.8). After adjustment for birthweight, there was no significant difference in survival to discharge between cohorts (aOR 0.4 95%CI 0.1-1.4). None of the neonates with head entrapment were discharged alive. When non-vertex IUFD deliveries were included in the cohort the rate of head entrapment decreased to 2/58 (3.4%). A composite of maternal morbidity, EBL, and LOS were similar between the groups. CONCLUSION: In this small cohort of non-vertex vaginal deliveries of neonates delivered from 22w0d-25w6d the risk of head entrapment was approximately 12% with similar neonatal and maternal outcomes. These risks should be included in shared decision making.
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