Cesarean delivery does not improve outcomes in births of small-for-gestational age neonates

Cesarean delivery does not improve outcomes compared with vaginal delivery for premature fetuses that are small for their gestational age, said researchers in a study presented at the 2012 annual meeting of the Society for Maternal and Fetal Medicine.

A review of births in the United States in New York City hospitals over 9 years showed no significant differences in brain hemorrhages, seizures, or rates of 5-minute Apgar scores of 7 between neonatal infants delivered by Cesarean section vs those delivered vaginally. However, Cesarean delivery was associated with a significantly higher incidence of respiratory distress syndrome than vaginal delivery, according to lead investigator Erika F. Werner, MD, assistant professor of gynecology and obstetrics at Johns Hopkins University in Baltimore, Maryland, United States, and...

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