SMFM: Cesarean Not More Protective for Small Preemies

C-section linked to increased odds of respiratory distress syndrome for preterm SGA neonates

FRIDAY, Feb. 10 (HealthDay News) -- For preterm, small-for-gestational-age (SGA) neonates, cesarean delivery (CD) does not decrease neonatal complications, and is associated with an increased likelihood of respiratory distress syndrome (RDS), according to a study presented at the annual meeting of the Society for Maternal-Fetal Medicine, held from Feb. 6 to 11 in Dallas.

Erika F. Werner, M.D., from Johns Hopkins University in Baltimore, and colleagues compared neonatal outcomes for preterm, SGA infants by method of delivery. Birth data were linked with hospital data for 2,560 singleton, live born, vertex neonates delivered between 25 and 34 weeks of gestation, from 1995 to 2003 in New York City.

The researchers found that 46 percent of neonates were delivered vaginally and 54 percent by CD. There were no significant between-group differences for intraventricular hemorrhage, subdural hemorrhage, seizure, or sepsis. Compared with vaginal delivery, for CD there were increased odds of RDS; this association persisted even after adjusting for confounding variables. Compared with vaginal delivery, for CD there were increased unadjusted odds of five-minute Apgar score of less than 7 (odds ratio, 1.4; 95 percent confidence interval, 1.1 to 1.9), but after adjustment the difference dissipated.

"CD was not associated with decreased odds of any neonatal complications and was associated with significantly higher odds of RDS in SGA preterm neonates," the authors write.

Press Release & Abstract
More Information

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Dogs as Pets, Visitors, Therapists and Assistants
Home Healthcare Nurse, November/December 2014
Free access will expire on January 5, 2015.


Tracheostomy Care
Nursing2014 Critical Care, November 2014
Free access will expire on December 22, 2014.


Effective management of ARDS
The Nurse Practitioner, 13December 2014
Free access will expire on December 22, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events