剖宫产与极早产儿及极低出生体重儿的结局

Cesarean section and the outcome of very preterm and very low-birthweight infants.

作者信息

Malloy Michael H, Doshi Snehal

机构信息

Department of Pediatrics, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0526, USA.

出版信息

Clin Perinatol. 2008 Jun;35(2):421-35, viii. doi: 10.1016/j.clp.2008.03.008.

DOI:10.1016/j.clp.2008.03.008

PMID:18456078

Abstract

Births of extremely preterm infants, less than 26 weeks' gestation, by cesarean section have increased significantly in the United States over the past decade. The justification for this increase is not well supported in the literature. This review examines recent analyses that suggest there may be some survival advantage for infants less than 26 weeks delivered by cesarean section. The appropriateness of intervening with cesarean sections for these very immature infants, however, remains uncertain.

摘要

在过去十年中，美国剖宫产出生的极早产儿（妊娠少于26周）数量显著增加。文献中对这种增加的合理性支持不足。本综述考察了近期的分析，这些分析表明剖宫产分娩的孕26周以下婴儿可能存在一定的生存优势。然而，对这些极不成熟的婴儿进行剖宫产干预是否恰当仍不确定。