Comparison of the rate and severity of intraventricular hemorrhage in cesarean delivery and normal vaginal delivery in premature infants under 28 weeks of gestation

Abstract

Premature birth occurs in about 12% of pregnancies. Consistent with the improvement of the fertility aids and neonatal intensive care facilities, premature infants are more likely to survive than before, although the premature-associated complications such as the intraventricular hemorrhage are high. Some studies have recommend elective cesarean delivery in this particularly vulnerable group if birth is imminent in these infants. Therefore, in a retrospective descriptive study, we compared the rate and severity of intraventricular hemorrhage in these two groups. Methods and Materials: In this descriptive cross-sectional study, 120 infants were studied. To compare intraventricular hemorrhage, we compared the results of ultrasound at days 3-7 of birth for each infant. Infants born and admitted to Alzahra Hospital who were below 28 weeks gestational age were included in the study. Results: The number of infants selected for the study was 120 infants, of which 60 were born by natural delivery (first group) and 60 by cesarean section (second group) and were divided into two groups. In the study of the relationship between type of delivery and gender, a statistically significant relationship was seen and male infants were born more by cesarean section than female infants. There was also a statistically significant relationship between the type of delivery and the number of platelets. There was also a statistically significant relationship between the type of delivery and CPAP. There was also a statistically significant relationship between preeclampsia and type of delivery. In a normal delivery between diabetes, intravenous corticosteroid use, preeclampsia, and bleeding grade, a statistically significant relationship was seen.