Cesarean section is not protective against adverse neurological outcome in survivors of preterm delivery due to overt chorioamnionitis.

Abstract

OBJECTIVE:

To determine whether the mode of delivery has a protective value on the immediate adverse neonatal neurological outcome of infants born from pregnancies complicated by preterm chorioamnionitis.

METHODS:

A comparison of the immediate and long-term neurological outcome of preterm neonates (24-34 weeks' gestation) of pregnancies complicated by chorioamnionitis, was made between those born by Cesarean section and by vaginal delivery.

RESULTS:

Of the 73 newborns, 54 (74%) survived the neonatal period; two (2.7%) had incomplete records, leaving 71 for analysis. Thirty (42.2%) were delivered by Cesarean section and 41 (57.7%) vaginally. The obstetric and neonatal characteristics were comparable. Twenty-four (80%) survived in the Cesarean group and 30 (73.2%) in the vaginal delivery group (NS). There was no significant difference in the immediate adverse neonatal neurological outcome between Cesarean and vaginal deliveries.

CONCLUSIONS:

The mode of delivery did not significantly affect the immediate neurological status of preterm infants exposed to antenatal intrauterine infection.

• Authors: S Grisaru-Granovsky, M S Schimmel, R Granovsky, Y Z Diamant, A Samueloff
• Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (J Matern Fetal Neonatal Med) Vol. 13 Issue 5 Pg. 323-7 (May 2003) ISSN: 1476-7058 [Print] England
• PMID: 12916683 (Publication Type: Journal Article)

Topics

• Cesarean Section
• Chorioamnionitis (complications, drug therapy)
• Cohort Studies
• Female
• Humans
• Infant, Newborn
• Infant, Premature
• Male
• Nervous System Diseases (congenital, etiology, prevention & control)
• Pregnancy
• Pregnancy Complications, Infectious
• Pregnancy Outcome
• Retrospective Studies