Elective Cesarean Section for Preterm Fetuses in Vertex Presentation: Is It Effective to Improve The Neonatal Outcomes?

Authors

  • Altay Gezer Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul
  • Mahmut Öncül Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul
  • Orçun Koçak Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul
  • Sanlı Erkan Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul
  • Seyfettin Uludağ Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul
  • Tarık Altınok Department of Gynecology & Obstetrics, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul

Keywords:

P reterm birth, Delivery, Elective cesarean section, Morbidity, Mortality

Abstract

OBJECTIVE: Evaluation of the assumption that elective cesarean section (CS) improved neonatal outcomes of ‘preterm fetuses in vertex presentation’.
STUDY DESIGN: Birth records of a university hospital between 1999 and 2004 were reviewed. CS performed without a trial of labor before completion of 37 gestational weeks were included in the study group. Early neonatal and maternal outcomes were compared for the elective CS and vaginal birth groups.
RESULTS: 61 elective CS and 117 preterm vaginal deliveries were eligible for the analysis. Neither the rate of NICU admission (38% v ersus 33%) nor the neonatal mortality rate (3.3% versus 4.3%) differed significantly. There were 2 cases of maternal morbidity in the CS group but none in the vaginal birth group.
CONCLUSIONS: Data in this study did not demonstrate any beneficial effect of elective CS for the early neonatal outcome of preterm fetuses in vertex resentation despite the possible increase in maternal morbidity.

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Published

2006-12-20

How to Cite

1.
Gezer A, Öncül M, Koçak O, Erkan S, Uludağ S, Altınok T. Elective Cesarean Section for Preterm Fetuses in Vertex Presentation: Is It Effective to Improve The Neonatal Outcomes?. Gynecol Obstet Reprod Med [Internet]. 2006Dec.20 [cited 2021Feb.25];12(3):173-5. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/597

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology