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The morbidities in term neonates delivered by elective cesarean section

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Document Type : Research Paper

Abstract

Abstract

Background: Delivery by elective cesarean section has been risen and was found to be associated with risk of adverse neonatal outcome.
Aim of the study: To assess neonatal morbidities among term neonates delivered by elective cesarean section.
Methods: It is a prospective study conducted at neonatal intensive care unit at Al-Yarmuk teaching hospital from the 1st of June 2017 to the 1st of January 2018. Included neonates were: Term, singleton, and product of elective cesarean section. The following variables were studied: maternal age, antenatal steroid, and mode of anesthesia, indication of elective cesarean section, gestational age, neonate gender, Apgar score and birth weight, with neonatal morbidities.
Results: During the study period, (693) neonates were enrolled. Maternal steroid given to (94.5%). Repeat cesarean section represent (73.2%), and general anesthesia was used in (91.7%). Neonates were subdivided into: early term, and full-late term groups; (55.3%) were male. About a quarter were admitted, mostly with Respiratory distress. The admission associated with gestational age, male gender, and lower birth weight. Only respiratory morbidities and the use of assisted ventilation were significant for early term.
Conclusion: Elective cesarean section is found to be associated with significant neonatal morbidities, especially respiratory ones.
Keywords: Elective Cesarean Section; Neonatal Respiratory Morbidities, Neonatal Intensive Care Unit.

Keywords

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References
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Iraqi Postgraduate Medical Journal
Volume 23, Issue 3
July 2024
Page 308-313
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