{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:20:42Z","timestamp":1762917642954},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T00:00:00Z","timestamp":1442880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is a paucity of published clinical data to guide obstetric decision\u2010making regarding mode of birth at extreme prematurity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate whether neonatal survival or maternal outcomes were affected by the decision to perform a <jats:styled-content style=\"fixed-case\">c<\/jats:styled-content>aesarean section (<jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>) between 23\u00a0+\u00a00 and 26\u00a0+\u00a06\u00a0weeks' gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A single\u2010centre retrospective cohort study of all liveborn infants born with a plan for active resuscitation at 23\u201326\u00a0weeks' gestation was performed. Descriptive and multivariate logistic regression analyses compared outcomes after vaginal birth and <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>. Subgroup analyses of nonfootling breech presentations, multiple pregnancies and singleton pregnancies in spontaneous preterm labour were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Outcomes for 625 neonates delivered by 540 mothers were analysed. A total of 300 (48%) neonates were born vaginally and 325 (52%) by <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>. Mode of birth was not associated independently with survival for any multivariate analysis; gestational age at birth was an independent predictor across all analyses. Adverse maternal outcomes were documented in 112 (21%) pregnancies; the rate of severe maternal complications was low. Maternal morbidity was not affected by mode of birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mode of birth did not affect neonatal survival or the rate of maternal morbidity for deliveries at 23\u201326 completed weeks' gestation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12404","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T10:49:13Z","timestamp":1442918953000},"page":"60-68","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The influence of mode of birth on neonatal survival and maternal outcomes at extreme prematurity: A retrospective cohort study"],"prefix":"10.1111","volume":"56","author":[{"given":"Penelope E.","family":"Thomas","sequence":"first","affiliation":[{"name":"Mater Mothers' Hospital Raymond Terrace South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott G.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Mater Mothers' Hospital Raymond Terrace South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Mater Mothers' Hospital Raymond Terrace South Brisbane Queensland Australia"},{"name":"Mater Research Support Centre Mater Mothers' Hospital Raymond Terrace South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000127983"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1482"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.4.659"},{"key":"e_1_2_8_5_1","unstructured":"Reports of the Australian and New Zealand Neonatal Network \u2013 1998 and 2009. 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