Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies

Choosing the safest method of delivery and preventing preterm labour are obstetric challenges in reducing the number of preterm births and improving outcomes for mother and baby. Optimal route of delivery for preterm vertex neonates has been a controversial topic in the obstetric and neonatal commun...

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Main Authors: Smriti Ray Chaudhuri Bhatta, Remon Keriakos
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2011/186560
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author Smriti Ray Chaudhuri Bhatta
Remon Keriakos
author_facet Smriti Ray Chaudhuri Bhatta
Remon Keriakos
author_sort Smriti Ray Chaudhuri Bhatta
collection DOAJ
description Choosing the safest method of delivery and preventing preterm labour are obstetric challenges in reducing the number of preterm births and improving outcomes for mother and baby. Optimal route of delivery for preterm vertex neonates has been a controversial topic in the obstetric and neonatal community for decades and continues to be debated. We reviewed 22 studies, most of which have been published over the last five years with an aim to find answers to the clinical questions relevant to deciding the mode of delivery. Findings suggested that the neonatal outcome does not depend on the mode of delivery. Though Caesarean section rates are increasing for preterm births, it does not prevent neurodisability and cannot be recommended unless there are other obstetric indications to justify it. Therefore, clinical judgement of the obstetrician depending on the individual case still remains important in deciding the mode of delivery.
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spelling doaj-art-0371f69fe6954cc3aa8ab5c2f92fc8cd2025-02-03T01:28:00ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/186560186560Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm BabiesSmriti Ray Chaudhuri Bhatta0Remon Keriakos1Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Sheffield S10 2SF, UKObstetrics and Gynaecology, Sheffield Teaching Hospitals, Sheffield S10 2SF, UKChoosing the safest method of delivery and preventing preterm labour are obstetric challenges in reducing the number of preterm births and improving outcomes for mother and baby. Optimal route of delivery for preterm vertex neonates has been a controversial topic in the obstetric and neonatal community for decades and continues to be debated. We reviewed 22 studies, most of which have been published over the last five years with an aim to find answers to the clinical questions relevant to deciding the mode of delivery. Findings suggested that the neonatal outcome does not depend on the mode of delivery. Though Caesarean section rates are increasing for preterm births, it does not prevent neurodisability and cannot be recommended unless there are other obstetric indications to justify it. Therefore, clinical judgement of the obstetrician depending on the individual case still remains important in deciding the mode of delivery.http://dx.doi.org/10.1155/2011/186560
spellingShingle Smriti Ray Chaudhuri Bhatta
Remon Keriakos
Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
Journal of Pregnancy
title Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
title_full Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
title_fullStr Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
title_full_unstemmed Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
title_short Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies
title_sort review of the recent literature on the mode of delivery for singleton vertex preterm babies
url http://dx.doi.org/10.1155/2011/186560
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