Birth trauma in preterm vaginal and cesarean section deliveries: A 10-years retrospective study

Birth trauma in preterm vaginal and cesarean section deliveries: A 10-years retrospective study | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 31 January 2024 V1 Latest version Share on Birth trauma in preterm vaginal and cesarean section deliveries: A 10-years retrospective study Authors : Alina Luca , Angela Vinturache 0000-0002-2432-2616 [email protected] , Ciprian Ilea , Andreea Avasiloaiei , Luminita Paduraru 0000-0002-3850-797X , Alexandru Carauleanu , Sadydie Scripcariu , and Demetra Socolov Authors Info & Affiliations https://doi.org/10.22541/au.170669704.43343008/v1 219 views 90 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: We compared birth injuries for vaginal (VD) and caesarean section (CS) deliveries in preterm and term pregnancies. Study design: 10-year retrospective study of singleton pregnancies delivered after 24 0/7 weeks, in a single tertiary center, between January 1st, 2007, and December 31st, 2017. Multivariable analyses compared trauma at birth, birth hypoxia and birth asphyxia in term and preterm deliveries, stratified by mode of birth, VD versus CS. Results: The incidence of preterm deliveries was 10.9 %. Delivery of preterm babies by CS increased from 37.0% in 2007 to 60.0% in 2017. The overall incidence of all birth trauma was 16.2 %. When stratified by mode of delivery, birth trauma was recorded in 23.4 % in vaginal deliveries and 7.5 % in CS deliveries (aOR 3.3, 95 %CI 3.1-3.5). Incidence of trauma at birth was higher after 28 weeks gestation in VD compared to CS (28-31 weeks, aOR 1.7, 95 % CI 1.3-2.3; 32-36 weeks, aOR 4.2, 95 % CI 3.6-4.9; >37 weeks, aOR 3.3, 95% CI 3.1-3.5). There was no difference in birth trauma before 28 weeks gestation between VD and CS (aOR 0.8, 95% CI 0.5-1.2). Conclusion: CS is not protective of injury at birth. When all types of birth trauma are considered, these are more common in VD, thus favoring CS as preferred method of delivery to avoid trauma at birth. However, when stratified by severity of birth trauma, preterm babies delivered vaginally are not at higher risk of major birth trauma than those delivered by CS. Supplementary Material File (al_birth trauma_draft 20_av_bjog.docx) Download 94.96 KB Information & Authors Information Version history V1 Version 1 31 January 2024 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: birth trauma delivery: caesarean section intrapartum care labour: management preterm labour: clinical research Authors Affiliations Alina Luca Universitatea de Medicina si Farmacie Gr T Popa Iasi View all articles by this author Angela Vinturache 0000-0002-2432-2616 [email protected] Queen Elizabeth II Hospital View all articles by this author Ciprian Ilea Universitatea de Medicina si Farmacie Gr T Popa Iasi View all articles by this author Andreea Avasiloaiei Universitatea de Medicina si Farmacie Gr T Popa Iasi Facultatea de Medicina View all articles by this author Luminita Paduraru 0000-0002-3850-797X Universitatea de Medicina si Farmacie Gr T Popa Iasi View all articles by this author Alexandru Carauleanu UMF Iași View all articles by this author Sadydie Scripcariu Universitatea de Medicina si Farmacie Gr T Popa Iasi View all articles by this author Demetra Socolov Universitatea de Medicină și Farmacie Gr T Popa Iași Facultatea de Medicină View all articles by this author Metrics & Citations Metrics Article Usage 219 views 90 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Alina Luca, Angela Vinturache, Ciprian Ilea, et al. Birth trauma in preterm vaginal and cesarean section deliveries: A 10-years retrospective study. Authorea . 31 January 2024. DOI: https://doi.org/10.22541/au.170669704.43343008/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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