Analysis of intracranial hemorrhage grade in preterm singleton pregnancies delivered vaginally or by cesarean section

Abstract

Background/Aim. Preterm birth is the leading cause of neonatal mortality. Periventricular hemorrhage-intraventricular hemorrhage (PVH-IVH) remains a significant cause of both morbidity and mortality in infants prematurely born. The aim of the study was to evaluate the perinatal outcome regarding IVH of premature babies according to the mode of delivery. Methods. A total of 126 women in preterm singleton pregnancies with vertex presentation and 126 neonates weighted from 750 g to 1,500 g at birth were enrolled. The outcomes of 64 neonates born vaginally were compared to 62 neonates born by cesarean section. Results. There was no significant difference in the incidence of IVH among both groups. Conclusion. Our data is consistent with the hypothesis that the mode of delivery does not influence IVH and consenquently perinatal outcome in preterm neonates.Uvod/Cilj. Preterminski porodjaj je vodeci uzrok neonatalnog mortaliteta. Kod prerano rodjenog deteta periventrikularna - intraventrikularna hemoragija (PVH-IVH) je znacajan uzrok morbiditeta i mortaliteta. Cilj rada bio je da se analizira perinatalni ishod preterminske novorodjencadi u pogledu nastanka IVH u odnosu na nacin zavrsavanja porodjaja. Metode. Ovom studijom bilo je obuhvaceno 126 bolesnica u preterminskoj monofetalnoj trudnoci, sa prezentacijom glavom i 126 neonatusa telesne tezine izmedju 750 g i 1 500 g. Poredjeni su perinatalni ishodi 64 neonatusa rodjeni vaginalnim putem i 62 neonatusa rodjena carskim rezom. Rezultati. Nije bilo statisticki znacajne razlike u incidenciji IVH izmedju grupa vaginalno rodjenih i grupe prematurusa rodjenih carskim rezom. Zakljucak. Rezultati dobijeni i u ovoj studiji u saglasnosti su sa hipotezom da nacin porodjaja nema uticaja na IVH i, posledicno, na perinatalni ishod preterminskih neonatusa.