Neonatal outcome of second-stage cesarean delivery versus vacuum extraction among neonates <34 weeks.

Among deliveries <34 weeks, there is inconclusive evidence regarding the preferred route of delivery when there is a need to expedite delivery during the second stage of labor. As it is unreasonable that future randomized controlled trials will be conducted to settle this query, every clinical data concerning this topic, may be helpful. We aim to compare neonatal outcomes among women undergoing emergent cesarean delivery (ECD) versus vacuum-assisted delivery (VAD) during the second stage of labor among singleton gestations <34 weeks. A retrospective cohort study including all women who underwent either ECD or VAD at the second stage of labor between 30° Of the 153,672 live singleton deliveries during the study period, 2871 (1.9%) delivered before 34° Cesarean delivery during the second stage of labor of gestations <34 weeks was associated with a higher rate of lower Apgar scores and longer length of stay. Delivery by second stage CD of premature neonates <34 weeks is associated with a higher rate of lower Apgar score.