Delivery Mode and Severe Intraventricular Hemorrhage in Single, Very Low Birth Weight, Vertex Infants

Abstract

II.

Hypernatremia and grade III/IV intraventricular hemorrhage among extremely low birth weight infants

“…26 The association between vaginal delivery and IVH is controversial. [26][27][28][29][30] In this case-control study, we found that vaginal delivery was a risk factor for severe IVH. Low superior vena cava flow, resulting from the inability of the immature heart to withstand high systemic resistance after birth, is associated with an increased risk of late IVH.…”

Mode of delivery of twin gestation with very low birthweight: is vaginal delivery safe?

“…The association between mode of delivery and the risk of IVH in VLBW singleton pregnancies has been studied, with controversial findings. Although several small studies suggested that cesarean delivery may decrease the risk for IVH in VLBW singleton pregnancies, 37-40 a study of 4658 VLBW newborn infants 41 and other smaller studies [42][43][44] did not find an association between IVH and mode of delivery. Because an association between IVH and mode of delivery in singleton pregnancies has not been established and considering our small sample size, we believe that, at this stage, the findings of our study should be interpreted with caution.…”

Parenchymatous Brain Injury in Premature Infants: Intraventricular Hemorrhage and Periventricular Leukomalacia

“…Inborn patients compared to those who are transported had a lower incidence of IVH (13.2 versus 27.4) and a lower relative distribution of severe IVH (39.2 versus 44.1 percent) (Mohamed & Aly, 2010). Delivery mode does not appear to affect the risk of severe IVH (Riskin et al, 2008) whereas the presence or absence of labor in cesarean delivery the data are conflicting. In the neonatal care units the efforts must be put on: prompt and appropriate resuscitation of the neonate, avoiding hemodynamic instability, hypoxia, hyperoxia, hypercarbia and hypocarbia.…”