ArticleFrontiers in public health2025
The delivery modes and morbidity/mortality in very preterm infants with birth weight <1,500 g: a retrospective cohort study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Compare outcomes of very preterm infants (VPIs) with a birth weight<1,500 g based on delivery mode and propensity score matching (PSM). Methods: This was a retrospective study (2016-2021) of 1,375 VPIs (692 vaginal and 683 cesarean deliveries). PSM created 390 matched pairs. Outcomes included respiratory and neurological morbidity and mortality. Results: PSM revealed no significant difference between the two groups at baseline or after antenatal corticosteroids administration. The incidence rates of birth asphyxia, delivery room resuscitation, neonatal respiratory distress syndrome, use of pulmonary surfactants, pulmonary hemorrhage, and use of invasive ventilation in the vaginal delivery group after PSM were 42.3, 68.2, 65.9, 59.2, 7.2, and 36.7%, respectively. These rates were significantly lower than those in the cesarean delivery group (52.3, 83.3, 79.5, 70.8, 14.4, and 51.8%, respectively) ( Conclusion: Cesarean section reduced early mortality in VPIs <28 weeks but increased respiratory morbidity at 28-31
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