title: Effects of mode of delivery on mortality and severe brain injury in extremely low birth weight infants in Arkansas.
abstract: The optimal mode of delivery for extremely low birth weight (ELBW) infants remains unknown. We reviewed the medical records of 374 ELBW infants (gestational age 23-34 weeks) delivered between 1998 and 2003 at UAMS. The cesarean section rate was 63.9%. The overall mortality rate was 16.0%. The mortality rate for vaginally delivered infants was 26.7% (36/135) vs. 10% (24/239) for cesarean section (P < .0001). Cesarean delivery was associated with higher odds of survival without severe brain injury (SBI) (OR = 2.33, 95% CI [1.36, 4.00]).
authors: Chad A
authors: CA
authors: Barber
authors: Natalie C
authors: NC
authors: Sikes
authors: Jonathon D
authors: JD
authors: Norton
authors: Curtis L
authors: CL
authors: Lowery
authors: Jeffrey R
authors: JR
authors: Kaiser
mesh_terms: D001131:Arkansas / Q000453:epidemiology; D002543:Cerebral Hemorrhage / Q000453:epidemiology*; D002552:Cerebral Ventricles; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007969:Leukomalacia, Periventricular / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D011247:Pregnancy; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014621:Vagina