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Publication Date:
August 2009
ISSN:
1619-3997
DOI:
10.1515/JPM.2009.126

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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

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Delivery mode for the extremely premature fetus: a statement of the prematurity working group of the World Association of Perinatal Medicine

Daniel W. Skupski1 / Anne Greenough2 / Stephen M. Donn3 / Birgit Arabin4 / Eduardo Bancalari5 / Radu Vladareanu6

1Division of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA

2Division of Asthma, Allergy and Lung Biology, King's College London School of Medicine, Newborn Unit, London, UK

3Division of Neonatal-Perinatal Medicine, University of Michigan, Ann Arbor, MI, USA

4Division of Obstetrics and Gynecology, University Hospital of Marburg, Germany

5Division of Neonatology, University of Miami Miller School of Medicine, Miami, FL, USA

6Division of Obstetrics and Gynecology, Elias University Hospital, Carol Davila University of Medicine, Bucharest, Romania

Corresponding author: Daniel W. Skupski, MD New York Hospital Queens 56-45 Main Street Room M-365 Flushing New York 11355 USA Tel.: +1-718-670-1495 Fax: +1-718-539-1669

Citation Information: Journal of Perinatal Medicine. Volume 37, Issue 6, Pages 583–586, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2009.126, August 2009

Publication History:
Published Online:
2009-08-17

Abstract

Recent retrospective publications have suggested that cesarean delivery may be beneficial for the extremely premature fetus. This article displays the available evidence and discusses this issue, including many aspects such as the difficulty in deciding when delivery is imminent, the negative impact on maternal morbidity and mortality and the cost to society of such a policy. The available scientific evidence does not support a recommendation for cesarean delivery for improving survival or decreasing morbidity for the extremely premature fetus.

Keywords: Extremely premature fetus; fetal growth restriction (FGR); gestational age; intracranial hemorrhage (ICH)

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