Vaginal Vs. C/S for micros

kids · Nov 13, 2003

My understanding is that there is a higher risk of brain bleeds in vag delivered micropremies. I have no clue where I got that bit of information or if it is accurate.

iceNICUnurse · Nov 13, 2003

In my hospital they would try a lady partsl first if everything is OK.

I have not seen any differance in the babies but maby the lady partsl ones have a better outcome, are more redy...I am not sure.

The OBs have that in mind that if the baby does not live the mum will not have to have a scar on her tummy as well as the scar in the heart.

Jolie, BSN · Nov 13, 2003

I think there was a thread on this a while back. When I was pregnant with my first, and was dilated to 4cm in active labor at 28 weeks, I questioned my OB about this. I seem to remember a study published about that time which showed a better outcome in term of head bleeds with preemies delivered by C-section. She wasn't convinced of the benefit, but promised to section me if my labor couldn't be stopped. Probably helped my cause that the baby was transverse. Fortunately, 6gms/hr of mag worked its magic, and labor was stopped, for a while anyway. After 3 or 4 more admissions for MgSO4, and terbutaline at home, she arrived at 37 weeks! She's now almost as tall as I am. Scary!

dawngloves, BSN, RN · Nov 14, 2003

You know Jolie I thought so too, but could not find the thread.

I can understand the rationale behind lady partsl deliveries and brain bleedsd. But honestly I have not noticed a difference in my unit. Had c/s babes with b/l Grade III and lady partsls with resolved Grade I. My take on it is anything

rnc4preemie · Nov 25, 2003

Our OB's won't section unless the baby is breech or transverse or there is Hx of previous C/S. It seems to make sense that the C/S would be protective of the head, but I haven't seen much difference either.