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Updated: May 7, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Caesarean section versus vaginal delivery for preterm birth in singletons
Zarko Alfirevic1, Stephen J Milan, Stefania Livio
1Department of Women's and Children's Health, The University of Liverpool, First Floor, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK, L8 7SS.
The Cochrane Database of Systematic Reviews
|September 14, 2013
Summary
Planned caesarean delivery for preterm labor shows no significant infant benefits but may increase maternal complications. More research is needed, but difficult recruitment hinders progress in understanding optimal preterm birth modes.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Maternal Health
Background:
- The optimal delivery method for preterm infants remains controversial, with planned caesarean delivery potentially offering protection but also posing risks.
- Preterm labor necessitates careful consideration of delivery mode for both maternal and infant well-being.
Purpose of the Study:
- To evaluate the effects of planned immediate caesarean delivery versus planned vaginal birth for women in preterm labor.
Main Methods:
- A systematic review of randomized controlled trials was conducted.
- Data from included studies were independently extracted and assessed for risk of bias.
Main Results:
- Limited data showed no significant differences in infant birth injury, asphyxia, or perinatal death between planned caesarean and vaginal births.
- Maternal complications were higher in the planned caesarean group, while vaginal delivery was associated with reduced puerperal pyrexia and infection.
Conclusions:
- Insufficient evidence exists to support planned immediate caesarean delivery for preterm infants.
- Further research is required, though patient recruitment for such studies presents challenges.
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