Cesarean section en caul and asphyxia in preterm infants
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.Acta Obstetricia Et Gynecologica Scandinavica (Impact Factor: 2.43). 12/2012; 92(3). DOI: 10.1111/aogs.12066
We reviewed the outcome for 211 patients undergoing a planned 'en caul' (within intact membranes) cesarean section and for 836 control patients with conventional lower segment section, in the period 2001-2010 at a university affiliated hospital in China, where the former technique has been practiced. Of the intended 'en caul' sections there were 141 successful deliveries (66.8%) and 70 that failed and were converted to conventional lower segment cesarean section. Maternal blood loss was similar for both operation types, but the rate of asphyxia was significantly lower among preterm infants delivered by the 'en caul' method than in the control cases. Multivariate logistic regression revealed that the volume of amniotic fluid, a low Bishop score and high birthweight were associated with failed 'en caul' deliveries. Cesarean section 'en caul' can be a safer option than lower segment section when preterm delivery is required. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
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