Untersuchungen des perinatalen Zustandes bei frühgeborenen Kindern mit weniger als 1500 g

Abstract

These data suggest that the mode of delivery affects the perinatal outcome of infants weighing less than 1500 g. Based on the results of the present study, it appears unclear which mode of delivery should be preferred, depending on particular material and fetal factors.

Perinatal outcomes associated with low birth weight in a historical cohort

“…Over the last years cesarean section has replaced vaginal birth as the preferable and safest route of delivery of breech fetuses as the result of adverse perinatal outcomes associated with the latter [26]. This is also so for preterm and growth restricted fetuses since vaginal delivery of LBW newborns is associated with higher mortality and morbidity rates [18]. Despite that, LBW infants in this cohort were 4.7 times more frequently delivered vaginally on breech than those with normal birth weight, reflecting the fact that most of this cohort refers to a period prior to the evidence of better perinatal outcomes after cesarean sections for breech fetuses.…”

“…Cesarean is associated with increased rate of bronchopulmonary dysplasia and vaginal delivery with increased ventricular hemorrhage and higher mortality rates [18]. Vaginal breech delivery of premature infants is associated with increased neonatal mortality and morbidity (birth trauma, birth asphyxia) [19].…”