The association between low birth weight and outcomes of vacuum assisted vaginal delivery

2021 ◽  
Vol 256 ◽  
pp. 252-255
Author(s):  
Rani Haj Yahya ◽  
Gilad Karavani ◽  
Amir Abu-Rabia ◽  
Henry H. Chill ◽  
Joshua I. Rosenbloom ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vaginal Delivery ◽  
Assisted Vaginal Delivery

scholarly journals Vaginal Delivery Increases the Risk of Candida Sepsis in Very Low Birth Weight Infants (≤1250g)

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 217A-217A
Author(s):  
Prabhu S Parimi ◽  
Deepak Kumar ◽  
Steven Gribar ◽  
Angela Byun ◽  
John Moore
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vaginal Delivery ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Candida Sepsis

scholarly journals Predictors of mortality in extramural very low birth weight neonates: a prospective observational study

2020 ◽  
Vol 8 (1) ◽  
pp. 107
Author(s):  
Rajkumar M. Meshram ◽  
Ruchi A. Gedam ◽  
Shivangi Garg ◽  
Kalyani S. Kadu ◽  
Madhabika R. Chakraborty ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress ◽  
Vaginal Delivery ◽  
Very Low Birth Weight ◽  
Mode Of Delivery ◽  
Home Delivery ◽  
Male Gender ◽  
Independent Risk Factors

Background: Over the past few decades, the burdens of very low birth weight (VLBW) preterm infants are increasing due to advances in obstetrics and perinatal services. Objectives of the study were to assess predictors of mortality of extramural VLBW neonates.Methods: Prospective one year cohort study was undertaken on VLBW neonates fulfilling the inclusion criteria at a tertiary institute. Maternal and neonatal demographic data were analyzed.Results: Male to female ratio was 1.26:1. One hundred and thirty seven (74.9%) neonates had birth weights from 1000-1499 g while 46 (25.1%) had birth weights <1000 g (ELBW) and 90% were preterm. One hundred and sixty five (90.2%) neonates were admitted in early neonatal period. Anaemia was the commonest maternal illness and preeclampsia/eclampsia was the most common obstetric complication. Respiratory distress, temperature instability and lethargy were common clinical presentations. Respiratory distress, sepsis and perinatal asphyxia were common diagnoses on admission. Mortality rate in VLBW neonates was 59.6% and respiratory distress was the commonest cause of death. Male gender (p=0.01), home delivery (p=0.04), vaginal delivery (p=0.05) and positive septic screen (p=0.003) had significantly higher mortality while mode of delivery (aOR 0.27 CI 0.086-0.83 p=0.02) and positive septic screen (aOR 4.0 CI 1.67-9.84 p=0.002) were independent risk factors for mortality.Conclusions: In extramural VLBW neonates, male gender, home delivery, vaginal delivery and positive septic screen had significantly higher mortality whilst mode of delivery and positive septic screen were independent risk factors for mortality.

scholarly journals Comparative study of early neonatal outcome in low birth weight babies in hypertensive disorders complicating pregnancies with the mode of delivery

2021 ◽  
Vol 8 (3) ◽  
pp. 339-345
Author(s):  
Sivajyothi Pilli ◽  
Kavitha Bakshi
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Low Birth Weight ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Survival Advantage ◽  
Hypertensive Disorders ◽  
Significant Difference

Pregnancy induced Hypertension (PIH) is strongly associated with intrauterine fetal growth restriction (IUGR), low birth weight (LBW) and admission to NICU. PIH is not by itself an indication for caesarean delivery. However, the incidence of caesarean is high because of the development of complications in mother and the need to deliver prematurely. To compare the immediate morbidity and survival advantage of LBW vertex presenting babies with the mode of delivery in hypertensive disorders complicating pregnancies. This was a comparative cross-sectional study done on women admitted to the labour ward during the study period with PIH delivering a baby through either a vaginal delivery or a caesarean section with a birthweight of &#60;2.5kgs. A detailed history taking and clinical examination was done. Babies were followed up for one week following delivery to note down the early neonatal outcome. In this study, over all there was no statistically significant difference in neonatal outcome in both vaginal delivery and caesarean section groups. However, there was slight increased incidence of prematurity (68% vs 64%), Birth Asphyxia (14% vs 8%), Sepsis (8% vs 6%), IVH (6% vs 2%) and Hyperbilirubinemia (16% vs 14%) in vaginal delivery group. While, RDS (20% vs 14%) and NEC (4% vs 2%) had higher incidence in caesarean delivery group. Overall, prematurity and IUGR resulting in LBW, contributed to these neonatal complications. Caesarean delivery offers no short-term survival advantage compared with vaginal delivery for LBW vertex presenting foetuses in PIH patients. Neonatal outcomes are not worsened by spontaneous or induced vaginal delivery in women with hypertension with good control and also decreases morbidity due to caesarean section to the mother.

scholarly journals First Case of Candida auris Colonization in a Preterm, Extremely Low-Birth-Weight Newborn after Vaginal Delivery

2021 ◽  
Vol 7 (8) ◽  
pp. 649
Author(s):  
Alessio Mesini ◽  
Carolina Saffioti ◽  
Marcello Mariani ◽  
Angelo Florio ◽  
Chiara Medici ◽  
...  
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Vaginal Delivery ◽  
Multidrug Resistant ◽  
Antifungal Prophylaxis ◽  
Extremely Low Birth Weight ◽  
Preterm Neonates ◽  
Candida Auris ◽  
First Case

Candida auris is a multidrug-resistant, difficult-to-eradicate pathogen that can colonize patients and health-care environments and cause severe infections and nosocomial outbreaks, especially in intensive care units. We observed an extremely low-birth-weight (800 g), preterm neonate born from vaginal delivery from a C. auris colonized mother, who was colonized by C. auris within a few hours after birth. We could not discriminate whether the colonization route was the birth canal or the intensive care unit environment. The infant died on her third day of life because of complications related to prematurity, without signs or symptoms of infections. In contexts with high rates of C.auris colonization, antifungal prophylaxis in low-birth-weight, preterm neonates with micafungin should be considered over fluconazole due to the C. auris resistance profile, at least until its presence is excluded.

scholarly journals Risk factors for the increasing trend in low birth weight among live births born by vaginal delivery, Brazil

2000 ◽  
Vol 34 (6) ◽  
pp. 596-602 ◽  
Author(s):  
Marco A Barbieri ◽  
Antônio AM Silva ◽  
Heloisa Bettiol ◽  
Uilho A Gomes
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Preterm Infants ◽  
Southeastern Brazil ◽  
Socioeconomic Differences ◽  
Live Births ◽  
Vaginal Deliveries

OBJECTIVE: To identify risk factors for low birth weight (LBW) among live births by vaginal delivery and to determine if the disappearance of the association between LBW and socioeconomic factors was due to confounding by cesarean section. METHODS: Data were obtained from two population-based cohorts of singleton live births in Ribeirão Preto, Southeastern Brazil. The first one comprised 4,698 newborns from June 1978 to May 1979 and the second included 1,399 infants born from May to August 1994. The risks for LBW were tested in a logistic model, including the interaction of the year of survey and all independent variables under analysis. RESULTS: The incidence of LBW among vaginal deliveries increased from 7.8% in 1978--79 to 10% in 1994. The risk was higher for: female or preterm infants; newborns of non-cohabiting mothers; newborns whose mothers had fewer prenatal visits or few years of education; first-born infants; and those who had smoking mothers. The interaction of the year of survey with gestational age indicated that the risk of LBW among preterm infants fell from 17.75 to 8.71 in 15 years. The mean birth weight decreased more significantly among newborns from qualified families, who also had the highest increase in preterm birth and non-cohabitation. CONCLUSIONS: LBW among vaginal deliveries increased mainly due to a rise in the proportion of preterm births and non-cohabiting mothers. The association between cesarean section and LBW tended to cover up socioeconomic differences in the likelihood of LBW. When vaginal deliveries were analyzed independently, these socioeconomic differences come up again.

scholarly journals Prevalence and cesarean rates of immigrant adolescent pregnancies

2021 ◽  
Vol 10 (4) ◽  
pp. 1291
Author(s):  
Özer Birge ◽  
Aliye Nigar Serin ◽  
İlkan Kayar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Adolescent Pregnancy ◽  
Vaginal Delivery ◽  
Normal Vaginal Delivery ◽  
Obstetric Outcomes ◽  
Chi Square ◽  
Emergency Cesarean ◽  
Adolescent Pregnancies

Background: aim of this study was to compare Syrian migrant adolescent pregnancies and Turkish adolescent pregnancies, who gave birth in Osmaniye State Hospital.Methods: 22,724 women who gave birth at the Osmaniye State Hospital obstetrics and gynecology department between January 2013 and January 2020 were screened retrospectively. 868 Turkish adolescent pregnant women and 522 Syrian migrant adolescent pregnant women were compared. Whether the differences between Turkish and Syrian adolescents were noteworthy (95% confidence interval) was determined using the independent samples t test and Pearson Chi-Square test with statistical software Minitab (version 16.0, USA).Results: A total of 22,724 births, including 15,883 Turkish and 6841 Syrian immigrants, were analyzed. The number of Turkish adolescent pregnant women was 868 (5.5%), the number of Syrian adolescent pregnant women was 522 (7.6%), the rate of Syrian adolescent pregnancy was higher. The cesarean rate was observed 36.7% in Turkish adolescent pregnancies and 20.1% in Syrian adolescent pregnants, cesarean rates were significantly higher in Turkish adolescent pregnants (p<0.001). When the total of 1390 (6.1%) adolescent pregnancies were evaluated in Osmaniye, where there were intense migrants and Syrian camp, the cesarean rate was found to be 30.5%, and the birth rate of low birth weight below 2500 gm was 11.1%.Conclusions: Maternal and fetal complications increase in adolescent pregnancies. War and migration are associated with poor obstetric outcomes in pregnancies. With Syrian immigration, an increase in adolescent pregnancy rate, cesarean rate, and low birth weight rate was observed in the region. For these reasons, studies should be done to prevent Syrian adolescent pregnancies. Social and education support, regular follow-up should be done to improve pregnancy outcomes. Adolescent pregnant women are more likely to have vaginal delivery. Therefore, normal vaginal delivery should be followed unless there is an emergency cesarean indication.

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