ABSTRACT

The best method of delivering the preterm fetus has not been established, and there is controversy on the preferred mode of delivery (vaginal delivery versus cesarean section). However, over the past few decades, there has been a sharp rise in the cesarean section rate, particularly for premature delivery, all over the world. While the cesarean section is thought to decrease mortality and morbidity and is supposed to be the safer route for the fetus, arguments against the cesarean section can be the increased risk in the rise in cesarean sections, maternal morbidity, risks for future pregnancies, and cost. In this article, the available medical evidence on this clinical paradox is reviewed.

Keywords: Premature, vaginal delivery, cesarean section