The Correlation Mode of Delivery in Preterm Pregnancy with Neonatal Outcome at Dr. Moewardi Surakarta Hospital

Abstract

Introduction: Mode of delivery has an essential role in neonates' outcomes, specifically in reducing morbidity and mortality. Preterm pregnancies are the most common cause of neonatal morbidity and mortality, approximately 5% to 10%. Currently, the recommended delivery method for preterm birth is still controversial and unclear.

Method: This study is a retrospective cohort conducted at Dr. Moewardi Surakarta Hospital, with a total sampling of 484cases divided into early preterm and late preterm from 2019 to 2021. Bivariate analysis was carried out using Chi-square and Kruskal-Wallis techniques to see the correlation between Mode of Delivery (MOD) and neonatal outcomes.

Results: In the early preterm group, mode of delivery had a significant Correlation (p<0.05) with birth weight, APGAR score, and neonatal mortality, but in the late preterm group, a significant correlation (p<0.05) was only found in the APGAR score and neonatal mortality outcome. Cesarean delivery, both early and late preterm, had a lower rate of asphyxia and neonatal death (p<0.05).

Conclusion: There is a significant correlation between the mode of delivery and neonatal outcomes in preterm birth. Cesarean delivery can significantly reduce the risk of asphyxia and neonatal mortality due to premature birth.