Method of delivery and intraventricular haemorrhage in extremely preterm infants

Objectives. It has been reported that caesarean delivery (CD) protects against intraventricular haemorrhage (IVH) in the extremely preterm infant, but it is not known whether this effect involve the more severe grades of IVH. Thus, our aim was to confirm the correlation between the occurrence of IVH...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2010-12, Vol.23 (12), p.1419-1423
Main Authors: Dani, Carlo, Poggi, Chiara, Bertini, Giovanna, Pratesi, Simone, Tommaso, Mariarosaria Di, Scarselli, Gianfranco, Rubaltelli, Firmino F.
Format: Article
Language:English
Subjects:
Birth Weight
Caesarean delivery
Cesarean Section
Delivery, Obstetric - methods
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - epidemiology
Intensive Care, Neonatal
Intracranial Hemorrhages - epidemiology
intraventricular haemorrhage
Male
Pregnancy
preterm infant
Steroids - administration & dosage
vaginal delivery
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Summary:Objectives. It has been reported that caesarean delivery (CD) protects against intraventricular haemorrhage (IVH) in the extremely preterm infant, but it is not known whether this effect involve the more severe grades of IVH. Thus, our aim was to confirm the correlation between the occurrence of IVH and the mode of delivery, and to evaluate this correlation for each grade of IVH. Methods. All infants with gestational age (GA) ≤ 28 weeks admitted to the neonatal intensive care unit of a tertiary hospital were studied for each grade IVH and major complications rate. Results. We found that vaginally born infants had a higher rate of each grade of IVH, but the increase was statistically significant only for grade 3 IVH (18% vs. 2%, p 
ISSN:1476-7058
1476-4954
DOI:10.3109/14767051003678218