2006
DOI: 10.1542/peds.2006-1327
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Survival Rates and Mode of Delivery for Vertex Preterm Neonates According to Small- or Appropriate-for-Gestational-Age Status

Abstract: Cesarean section delivery was associated with survival for preterm small-for-gestational-age neonates but not preterm appropriate-for-gestational-age neonates. We speculate that vaginal delivery may be particularly stressful for small-for-gestational-age neonates. We found no evidence that prematurity alone is a valid indication for cesarean section for preterm appropriate-for-gestational-age neonates.

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Cited by 87 publications
(75 citation statements)
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“…Although it is unclear how ACS affects outcomes in relation to the mode of delivery, our results suggest that obstetric intervention may influence the morbidity of VLBW infants. As pointed out in a previous report [12], CS delivery may be associated with the improved survival of preterm SGA (small-for-gestational-age) neonates, which suggests that VD is stressful for physiologically vulnerable SGA neonates. The data from this study and previous reports [6,7,8,9] suggest that CS delivery may be preferable for VLBW infants, especially when they weigh less than 800-1,300 g or have a gestational age of 24-26 weeks, or if there is IUGR and the fetus is aged less than 30 weeks.…”
Section: Discussionmentioning
confidence: 90%
See 1 more Smart Citation
“…Although it is unclear how ACS affects outcomes in relation to the mode of delivery, our results suggest that obstetric intervention may influence the morbidity of VLBW infants. As pointed out in a previous report [12], CS delivery may be associated with the improved survival of preterm SGA (small-for-gestational-age) neonates, which suggests that VD is stressful for physiologically vulnerable SGA neonates. The data from this study and previous reports [6,7,8,9] suggest that CS delivery may be preferable for VLBW infants, especially when they weigh less than 800-1,300 g or have a gestational age of 24-26 weeks, or if there is IUGR and the fetus is aged less than 30 weeks.…”
Section: Discussionmentioning
confidence: 90%
“…Some studies report lower mortalities or morbidities in VLBW infants following deliveries by cesarean section (CS) compared with vaginal delivery (VD) [6,7,8,9], whereas other investigators have found no improvements in perinatal outcomes on the basis of the delivery method [10,11,12]. …”
Section: Introductionmentioning
confidence: 99%
“…Several studies have reported that neonates delivered by cesarean section (CS) have a lower mortality than those with vaginal delivery (VD), but some studies have reported no such association [7][8][9] . Despite unclear benefits of CS in EPT infants, EPT infants are delivered by CS more frequently than other more mature preterm infants [10] .…”
mentioning
confidence: 99%
“…Non-concurrent cohort studies 3 [5][6][7] The main reasons for the exclusion of works were: the unavailability of the full text; a study design other than longitudinal observational (retrospective or prospective) or experimental (controlled clinical trials, randomized or not) studies.…”
Section: Type Of Publication Includedmentioning
confidence: 99%