Delivery of the extremely low-birth-weight vertex-presenting baby : caesarean section or the vaginal route?

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dc.contributor.authorCluver, C. A.en_ZA
dc.contributor.authorHall, D. R.en_ZA
dc.date.accessioned2011-05-15T16:18:03Z
dc.date.available2011-05-15T16:18:03Z
dc.date.issued2010-02
dc.descriptionCITATION: Cluver, C. A. & Hall, D. R. 2010. Delivery of the extremely low-birth-weight vertex-presenting baby : caesarean section or the vaginal route?. South African Journal of Obstetrics and Gynaecology, 16(1):14-16.
dc.descriptionThe original publication is available at http://www.sajog.org.za
dc.description.abstractENGLISH ABSTRACT: Improvements in neonatal care have resulted in a downward shift of the viability threshold for preterm babies. In general, the lower the gestational age and birth weight at delivery, the higher the chance of mortality and morbidity. Some may argue that the softer cranium and vulnerable brain of the extremely low-birth-weight baby should not be exposed to the 'stresses' of vaginal birth. In this article we briefly discuss the difficulties in decision making surrounding the lowest thresholds of viability and examine what the literature has to say regarding route of delivery. It is important that parents only make these difficult decisions after being fully informed of the likely short- and long-term outcomes. With regard to route of delivery we conclude that in the absence of an obstetric indication there is no clear evidence to support performing a caesarean delivery.en_ZA
dc.description.urihttp://www.sajog.org.za/index.php/SAJOG/article/view/174
dc.description.versionPublisher's version
dc.format.extent3 pagesen_ZA
dc.identifier.citationCluver, C. A. & Hall, D. R. 2010. Delivery of the extremely low-birth-weight vertex-presenting baby : caesarean section or the vaginal route?. South African Journal of Obstetrics and Gynaecology, 16(1):14-16
dc.identifier.issn2305-8862 (online)
dc.identifier.issn0038-2329 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/14487
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectLow birth weight
dc.subjectPremature labor
dc.subjectPreterm-born childrenen_ZA
dc.subjectCesarean sectionen_ZA
dc.subjectBirthen_ZA
dc.titleDelivery of the extremely low-birth-weight vertex-presenting baby : caesarean section or the vaginal route?en_ZA
dc.typeArticleen_ZA
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