OBJECTIVE: To determine whether CS delivery and receipt of antenatal steroids (ANS) in vertex-presenting singletons with a gestational age (GA) between 24 and 30 weeks is associated with improved survival and improved severe intraventricular hemorrhage (sIVH)-free survival.
Registro Sencillo
Registro Completo
Autor | Hubner, M. E. Ramirez, R. Burgos, J. Dominguez, A. Tapia, J. L. Colantonio, Guillermo Zapata, Jorge Perez, Gaston Ana Pedraza, Susana Garcia Kurlat, Isabel Di Siervi, Oscar Escarate, Adriana Mariani, Gonzalo Maria Ceriani, Jose Fernandez, Silvia Fustinana, Carlos Brener, Pablo Edwards, Eleonora Tavosnaska, Jorge Roldan, Liliana Sexer, Hector Saa, Gladys Sabatelli, Debora Laura Gendra, Maria Fernanda Buraschi, Maria Molina, Paula Daniel, Agost Morganti, Federico Fontana, Adriana Chandias, Daniela Rinaldi, Monica Grandi, Carlos Rojas, Elio Solana, Claudio Nieto, Ricardo Meritano, Javier Larguia, Miguel Kasten, Laura Cuneo, Lucrecia Decaro, Marcelo Cracco, Lionel Bassi, Gustavo Jacobi, Noemi Brum, Andrea Vain, Nestor Aguilar, Adriana Guerrero, Miriam Szyld, Edgardo Escandar, Alcira Abdala, Daniel Guida, Martin Ferrin, Lucila Roge, Horacio Musante, Gabriel Capelli, Maria C. Pablo Berazategui, Juan de Elizalde, Magdalena Ignacio Fraga, Juan Keller, Rodolfo Ahumada, Luis Ferreyra, Mirta Ferreira, Vanda Borges, Roberta Do Vale, Marynea Cavalcante, Silvia Gusmao, Joama Franco, Patricia Jose Silva, Maria Fabres, Jorge Estay, Alberto Gonzalez, Alvaro Kattan, Javier Quezada, Mariela Urzua, Soledad Campos, Lilia Cifuentes, Lilian Leon, Jorge Aguilar, Roxana Treuer, Sergio Giaconi, Jimena Bancalari, Aldo Standen, Jane Escobar, Marisol Veas, Viviana Sandino, Daniela Gonzalez, Agustina Avila, Claudia Guzman, Carla Toro, Claudia Mena, Patricia Milet, Beatriz Pittaluga, Enrica Pena, Veronica Mendizabal, Rafael Pizarro, Dagoberto D'Apremont, Ivonne Tapia, Jose L. Marshall, Guillermo Villarroel, Luis Quezada, Mariela Dominguez, Angelica Lacarruba, Jose Cespedes, Elizabeth Mir, Ramon Mendieta, Elvira Genes, Larissa Caballero, Carlos Webb, Veronica Rivera, Fabiola Llontop, Margarita Bellomo, Sicilia Zegarra, Jaime Chumbes, Oscar Castaneda, Anne Cabrera, Walter Llanos, Raul Mucha, Jorge Garcia, Gustavo Ceruti, Beatriz Borbonet, Daniel Gugliucci, Sandra Lain, Ana Martinez, Mariza Bazan, Gabriela Piffaretti, Susana Cuna, Isabel Bermudez, Patricia |
Título | Mode of delivery and antenatal steroids and their association with survival and severe intraventricular hemorrhage in very low birth weight infants |
Revista | Journal of perinatology |
ISSN | 0743-8346 |
ISSN electrónico | 1476-5543 |
Volumen | 36 |
Número de publicación | 10 |
Página inicio | 832 |
Página final | 836 |
Fecha de publicación | 2016 |
Resumen | OBJECTIVE: To determine whether CS delivery and receipt of antenatal steroids (ANS) in vertex-presenting singletons with a gestational age (GA) between 24 and 30 weeks is associated with improved survival and improved severe intraventricular hemorrhage (sIVH)-free survival. STUDY DESIGN: Multicenter cohort, retrospective analysis of prospectively collected data. Vertex-presenting singletons newborns with GA 24 to 30 weeks, birth weight between 500 and 1500 g, without major congenital malformations, born between 2001 and 2011 at Neocosur centers were included. RESULTS: Four thousand three hundred and eighty-six infants fulfilled inclusion criteria: 45.8% were delivered vaginally and 54.2% by cesarean section (CS). Newborns delivered vaginally received less ANS, had lower GA, Apgar scores and a lower incidence of survival and sIVH-free survival (P < 0.001). Newborns with better survival were those with ANS, independent of mode of delivery. At 24 to 25 weeks GA, increased survival and sIVH-free survival were associated with ANS and CS delivery, compared with those who received ANS and delivered vaginally. CONCLUSIONS: Among vertex-presenting singletons with GA 24 to 30 weeks, better survival and IVH-free survival were associated with ANS, independent of mode of delivery. In infants at 24 to 25 weeks gestation the combination of ANS/CS was associated with improvement in both outcomes. |
Derechos | acceso restringido |
DOI | 10.1038/jp.2016.78 |
Enlace | |
Id de publicación en WoS | WOS:000384630900008 |
Tema ODS | 03 Good Health and Well-being |
Tema ODS español | 03 Salud y bienestar |
Tipo de documento | artículo |