Abstract
Objective: To determine whether the mode of delivery has a protective value on the immediate adverse neonatal neurological outcome of infants born from pregnancies complicated by preterm chorioamnionitis.Methods: A comparison of the immediate and long-term neurological outcome of preterm neonates (24-34 weeks' gestation) of pregnancies complicated by chorioamnionitis, was made between those bornby Cesarean section and by vaginal delivery.Results: Of the 73 newborns, 54 (74%) survived the neonatal period; two (2.7%) had incomplete records, leaving 71 for analysis. Thirty (42.2%) weredelivered by Cesarean section and 41 (57.7%) vaginally. The obstetric and neonatal characteristics were comparable. Twenty-four (80%) survived in the Cesarean group and 30 (73.2%) in the vaginal deliverygroup (NS). There was no significant difference in the immediate adverse neonatal neurological outcome between Cesarean and vaginal deliveries.Conclusions: The mode of delivery did not significantlyaffect the immediate neurological status of preterm infants exposed to antenatal intrauterine infection.
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