{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:55:22Z","timestamp":1762102522450,"version":"3.40.5"},"reference-count":48,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T00:00:00Z","timestamp":1594598400000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The objective of this study was to investigate the association between planned mode of delivery and neonatal outcomes with spontaneous very preterm birth among singletons in cephalic presentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p><jats:italic>Etude Epid\u00e9miologique sur les Petits Ages Gestationnels 2<\/jats:italic> is a French national, prospective, population\u2010based cohort study of preterm infants. For this study, we included women with a singleton cephalic pregnancy and spontaneous preterm labor or preterm premature rupture of membranes at 24\u201031\u00a0weeks\u2019 gestation. The main exposure was the planned mode of delivery (ie planned vaginal delivery or planned cesarean delivery at the initiation of labor). The primary outcome was survival at discharge and secondary outcome survival at discharge without severe morbidity. Propensity scores were used to minimize indication bias in estimating the association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study population consisted of 1008 women: 206 (20.4%) had planned cesarean delivery and 802 (79.6%) planned vaginal delivery. In all, 723 (90.2%) finally had a vaginal delivery. Overall, 187 (92.0%) and 681 (87.0%) neonates in the planned cesarean delivery and planned vaginal delivery groups were discharged alive, and 156 (77.6%) and 590 (76.3%) were discharged alive without severe morbidity. After matching on propensity score, planned cesarean delivery was not associated with survival (adjusted odds ratio [aOR] 1.05, 95% confidence interval [CI] 0.48\u20102.28) or survival without severe morbidity (aOR 0.64, 95% CI 0.36\u20101.16).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Planned cesarean delivery for cephalic presentation at 24\u201031\u00a0weeks\u2019 gestation after preterm labor or preterm premature rupture of membranes does not improve neonatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13939","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T03:01:51Z","timestamp":1592535711000},"page":"1682-1690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Planned delivery route and outcomes of cephalic singletons born spontaneously at 24\u201031\u00a0weeks\u2019 gestation: The EPIPAGE\u20102 cohort study"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0010-856X","authenticated-orcid":false,"given":"Adrien","family":"Gaudineau","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology H\u00f4pitaux Universitaires de Strasbourg Strasbourg France"},{"name":"Department of Obstetrics and Gynecology Center Hospitalier Princesse Grace Monaco Monaco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsa","family":"Lorthe","sequence":"additional","affiliation":[{"name":"Epidemiology and Statistics Research Center\/CRESS INSERM INRA University of Paris Paris France"},{"name":"EPIUnit \u2013 Institute of Public Health University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Quere","sequence":"additional","affiliation":[{"name":"Epidemiology and Statistics Research Center\/CRESS INSERM INRA University of Paris Paris 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