C-section might not be the best delivery method for super early births

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Periviable births - that happen at the threshold where a fetus has a marginal or developing chance of surviving outside the womb - might be best delivered vaginally, say US researchers, who found periviable cesarean deliveries to come with increased odds of severe birthing issues. As periviable cesarean delivery is increasing in prevalence, the team investigated almost 100,000 super early births for any issues relating to how the baby came out. The team found that C-sections were associated with increased odds of severe risks to the mother, including needing transfusions of blood and blood clots, when compared with vaginal births.

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From: JAMA

Maternal Outcomes Among Periviable Births by Cesarean Delivery

In this cross-sectional study of periviable births, the proportion of periviable deliveries by cesarean increased over time. Compared with vaginal delivery, periviable cesarean delivery was associated with an increased risk for adverse maternal outcomes and severe maternal morbidity.

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JAMA Network Open
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Organisation/s: Columbia University College of Physicians and Surgeons, USA
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