Abstract
When a preterm delivery is unavoidable as a consequence of a fetal or maternal indication cesarean section without a trial of labor can be assigned as elective. Elective cesarean section to deliver an IUGR fetus may help to achieve better neonatal outcome. This study was performed for the assessment this proposal and aimed to evaluate impact of the elective cesarean procedure for the early outcome of IUGR fetuses. The birth records between 1995 and 1999 were reviewed in Istanbul University Cerrahpasa School of Medicine Obstetrics and Gynecology Department. The records of 112 cases were fulfilled the study criteria (singleton IUGR-below 10% birth weight-baby in vertex presentation born with elective cesarean section or vaginal birth between 33 and 37 gestational weeks) and analyzed. Mean gestational age was 35.5 weeks and the mean birth weight was 1998 g (800-2470) in the whole group. The NICU admission rate was highest in the 1500-1999 g birth weight group (19/26 73.1%) (Table 1). The births were divided into vaginal delivery (n=66) and cesarean section (n=46) groups. The neonatal outcomes were compared. The rate of NICU admission was higher in the cesarean section group than the vaginal birth group (16/46 34.8% versus 10/66 15.2% respectively) (p>0.05) (Table 2). There was only one case died in the vaginal birth group due to RDS. (excerpt)
Published Version
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