Congenital Anomalies in Very-Low-Birth-Weight Infants: A Nationwide Cohort Study

Neonatology ◽  
2020 ◽  
pp. 1-8
Author(s):  
Sung-Hoon Chung ◽  
Chae Young Kim ◽  
Byong Sop Lee ◽  
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Congenital Anomalies ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants

scholarly journals Positive Effect of Human Milk Feeding during NICU Hospitalization on 24 Month Neurodevelopment of Very Low Birth Weight Infants: An Italian Cohort Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. e0116552 ◽  
Author(s):  
Dino Gibertoni ◽  
Luigi Corvaglia ◽  
Silvia Vandini ◽  
Paola Rucci ◽  
Silvia Savini ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Human Milk ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Positive Effect ◽  
Italian Cohort ◽  
Milk Feeding

scholarly journals Cesarean section was not associated with mortality or morbidities advantage in very low birth weight infants: a nationwide cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jin Kyu Kim ◽  
Yun Sil Chang ◽  
Jong Hee Hwang ◽  
Myung Hee Lee ◽  
Won Soon Park
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Cesarean Section ◽  
Very Low Birth Weight ◽  
Ductus Arteriosus ◽  
Mode Of Delivery ◽  
Total Mortality ◽  
Low Birth Weight Infants ◽  
Mortality And Morbidity

AbstractThis study investigated the role of cesarean section (CS) in mortality and morbidity of very-low-birth-weight infants (VLBWIs) weighing less than 1500 g. This nationwide prospective cohort study of the Korean Neonatal Network consisted of 9,286 VLBWIs at 23–34 gestational weeks (GW) of age between 2013 and 2017. The VLBWIs were stratified into 23–24, 25–26, 27–28 and 29–34 GW, and the mortality and morbidity were compared according to the mode of delivery. The total CS rate was 78%, and was directly proportional to gestational age. The CS rate was the lowest at 61% in case of infants born at 23–24 GW and the highest at 84% in VLBWIs delivered at 29–34 GW. Contrary to the significantly lower total mortality (12%) and morbidities including sepsis (21%) associated with CS than vaginal delivery (VD) (16% and 24%, respectively), the mortality in the 25–26 GW (26%) and sepsis in the 27–28 GW (25%) and 29–34 GW (12%) groups were significantly higher in CS than in VD (21%, 20% and 8%, respectively). In multivariate analyses, the adjusted odds ratios (ORs) for mortality (OR 1.06, 95% CI 0.89–1.25) and morbidity including sepsis (OR 1.12, 95% CI 0.98–1.27) were not significantly reduced with CS compared with VD. The adjusted ORs for respiratory distress syndrome (1.89, 95% CI 1.59–2.23) and symptomatic patent ductus arteriosus (1.21, 95% CI 1.08–1.37) were significantly increased with CS than VD. In summary, CS was not associated with any survival or morbidity advantage in VLBWIs. These findings indicate that routine CS in VLBWIs without obstetric indications is contraindicated.

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