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首页> 外文期刊>American Journal of Perinatology Reports >Mode of Delivery in Premature Neonates: Does It Matter?
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Mode of Delivery in Premature Neonates: Does It Matter?

机译：早产儿的分娩方式：重要吗？

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Objective Despite the current prevalence of preterm births, no clear guidelines exist on the optimal mode of delivery. Our objective was to investigate the effects of mode of delivery on neonatal outcomes among premature infants in a large cohort. Study Design We applied a retrospective cohort study design to a database of 6,408 births. Neonates were stratified by birth weight and a composite score was calculated to assess neonatal outcomes. The results were then further stratified by fetal exposure to antenatal steroids, birth weight, and mode of delivery. Results No improvement in neonatal outcome with cesarean delivery (CD) was noted when subjects were stratified by mode of delivery, both in the presence or absence of antenatal corticosteroid administration. In the 1,500 to 1,999?g subgroup, there appears to be an increased risk of respiratory distress syndromes in neonates born by CD. Conclusion In our all-comers cohort, replicative of everyday obstetric practice, CD did not improve neonatal outcomes in preterm infants.
机译：目的尽管目前早产流行，但尚无关于最佳分娩方式的明确指南。我们的目标是调查分娩方式对大队列中早产儿新生儿结局的影响。研究设计我们将回顾性队列研究设计应用于了6,408例出生的数据库。按出生体重对新生儿进行分层，并计算综合评分以评估新生儿结局。然后通过胎儿暴露于产前类固醇，出生体重和分娩方式进一步将结果分层。结果当有或没有产前皮质类固醇给药的患者按分娩方式分层时，剖宫产（CD）的新生儿结局无改善。在1,500至1,999？g的亚组中，CD所致新生儿的呼吸窘迫综合征风险似乎增加了。结论在我们所有的队列研究中，复制日常的产科实践，CD并不能改善早产儿的新生儿结局。

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