• Seminars in perinatology · Dec 2013

    Review

    Mode of delivery for periviable birth.

    • Brian M Mercer.
    • Department of Reproductive Biology, Case Western Reserve University, MetroHealth Medical Center, Suite G267, Cleveland, OH. Electronic address: bmm12@case.edu.
    • Semin. Perinatol. 2013 Dec 1;37(6):417-21.

    AbstractThe optimal mode of delivery when periviable birth is anticipated has been the subject of considerable discussion. Potentially, cesarean delivery could avert intrapartum fetal trauma and asphyxia and allow timed delivery to assure readiness of neonatal intensive care resources. However, cesarean delivery in the early preterm period commonly necessitates a classical vertical uterine incision involving the fundus with its associated acute and long-term risks to the mother and future pregnancies. In this study we evaluated the currently available literature regarding routine cesarean delivery, cesarean delivery for fetal malpresentation, and cesarean delivery for fetal indication near the limit of viability. Randomized controlled trials of adequate size regarding this issue are lacking. Data from retrospective and observational studies do not support routine cesarean delivery for all early preterm infants. Cesarean delivery may offer survival advantage to the periviable growth-restricted infant regardless of fetal presentation and appears to offer survival benefit to the malpresenting fetus.Copyright © 2013 Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…