Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 277-279    DOI: 10.12891/ceog4780.2019
Original Research Previous articles | Next articles
Influence of route of delivery on perinatal outcomes in fetuses with myelomeningocele
N. Yachida1, M. Itsukaichi1, K. Haino1, T. Usuda2, J. Yoshimura3, T. Enomoto1, M. Yamaguchi1, K. Takakuwa1, *()
1Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
2Department of Pediatrics, Niigata University School of Medicine, Niigata, Japan
3Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan
Download:  PDF(186KB)  ( 39 ) Full text   ( 3 )
Export:  BibTeX | EndNote (RIS)      
Abstract  

The optimal route of delivery of fetuses with myelomeningocele is controversial. The aim of this study is to determine whether route of delivery predisposes to perinatal complications and influences short-term outcomes in patients with myelomeningocele. The authors performed a retrospective review of the medical records of 26 patients with myelomeningocele admitted to the Neonatal Intensive Care Unit in this hospital from 2001 to 2015. They compared perinatal complications and short-term outcomes of elective cesarean section (n = 21) and vaginal delivery (n = 5) groups. There were no ruptured nor infectious myelomeningoceles cases in either group. No statistically significant difference in ambulation status at two years of age was observed between the two groups. The present data suggest that perinatal complications and short-term outcomes were not associated with route of delivery. Vaginal delivery might be the optimal route of delivery for fetal myelomeningocele if there is no obstetric contraindication.

Key words:  Cesarean section      Infection      Myelomeningocele      Rupture      Vaginal delivery      Ambulation     
Published:  10 April 2019     
*Corresponding Author(s):  K. TAKAKUWA     E-mail:  obgy@med.niigata-u.ac.jp

Cite this article: 

N. Yachida, M. Itsukaichi, K. Haino, T. Usuda, J. Yoshimura, T. Enomoto, M. Yamaguchi, K. Takakuwa. Influence of route of delivery on perinatal outcomes in fetuses with myelomeningocele. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 277-279.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4780.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/277

[1] Athanasia Tsaroucha, Aliki Tympa Grigoriadou, Tania Moshovou, Kassiani Theodoraki, Aikaterini Melemeni. Efficacy of intrathecally administered fentanyl versus dexmedetomidine for cesarean section: a double blinded, randomized clinical trial[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1065-1070.
[2] Noor Hazim Abdulkareem, Elham Hazeim Abdulkareem. SARS-CoV-2 detection in pregnant and non-pregnant women[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1141-1145.
[3] Eser Ağar, Seda Şahin Aker. Effect of sexual dysfunction on women's preference for delivery methods: a social media-based survey[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1154-1161.
[4] Uros Visic, Tatjana Stopar Pintaric, Tit Albreht, Iva Blajic, Miha Lucovnik. Multimodal stepwise analgesia for reducing opioid consumption after cesarean delivery[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1162-1166.
[5] Lorenz Hinterleitner, Herbert Kiss, Johannes Ott. The impact of Cesarean section on female fertility: a narrative review[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 781-786.
[6] Kun Chen, Guo-Liang Yang, Wen-Ping Li, Ming-Cheng Li, Xue-Ying Bao. Antimicrobial resistance and epidemiology of extended spectrum-β-lactamases (ESBL)-producing Escherichia coli and Enterobacter cloacae isolates from intensive care units at obstetrics & gynaecology departments: a retrospective analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 820-827.
[7] Valeria Filippi, Luigi Raio, Sophia Amylidi-Mohr, Rudolf Tschudi, Daniele Bolla. Epidural analgesia at trial of labour after caesarean section. A retrospective cohort study over 12 years[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 913-917.
[8] Dalia Saad ElFeky, Rasha Assiri, Hanadi Bakhsh, Ruba Almubaraz, Afrah Aldhowayan, Shahad Ismail Alruwaili, Raghad Alomairy. Microbiological pattern of laboratory confirmed vaginal infections among Saudi women[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 929-934.
[9] Dragan Belci, Gian Carlo Di Renzo, Davor Zoričić, Andrea Tinelli, Antonio Malvasi, Michael Stark. Less is more—a minimal approach technique for Cesarean Section[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 478-482.
[10] Eser Ağar, Gökhan Karakoç. Comparison of electrocautery and scalpel for blood loss and postoperative pain in Pfannenstiel incisions in recurrent cesarean sections: a randomized controlled trial[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 534-539.
[11] Lejla Kamerić, Anis Cerovac, Mirzeta Rizvanović, Alen Kamerić, Mahira Jahić, Dubravko Habek. Frequency of cesarean section in pregnant women with risk factors for preeclampsia: prospective cohort study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 561-566.
[12] Batool Ali H. Alkhazal, Majed Abdullah Halawani, Ibtihal Omar Alsahabi, Hassan S.O. Abduljabbar. The preferred mode of delivery among primigravida Middle Eastern Women. A questionnaire based study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 567-571.
[13] Faris Mujezinović, Veronika Anzeljc, Monika Sobočan, Iztok Takač. Do women in Slovenia prefer vaginal birth after prior caesarean and what hinders its successful outcome? A single institution retrospective analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 607-614.
[14] Mohammed Rohi Khalil, Jens Kjølseth Møller, Stine Yde Nielsen. The performance of GeneXpert® PCR assay in detecting group B streptococcus colonization at labor[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 661-664.
[15] Ryuichi Shimaoka, Tomomi Shiga, Ken-ichirou Morishige. Change in uterine artery blood flow with intrauterine balloon tamponade[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 307-311.
No Suggested Reading articles found!