About Bioline  All Journals  Testimonials  Membership  News

Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 27, No. 1, 2017, pp. 1-6
Bioline Code: pe17016
Full paper language: English
Document type: Research Article
Document available free of charge

Iranian Journal of Pediatrics, Vol. 27, No. 1, 2017, pp. 1-6

 en Early Neonatal Outcome in Caesarean Section: A Developing Country Perspective
Choudhary, Bharat; Choudhary, Yachana; Pakhare, Abhijit P; Mahto, Deonath & Chaturvedula, Latha


Objectives: To find out the early neonatal outcome (morbidity and early neonatal mortality) of the babies born by caesarean section (CS) and to compare the outcomes between elective and emergency CS.
Methods: A longitudinal study was conducted in a tertiary care hospital. Maternal and neonatal characteristics were noted.
Results: A total of 750 neonates were enrolled and 37% were born by elective CS. Out of 750 children 55% were male newborns and 45% were females. The NICU (neonatal intensive care unit) admission requirement was 24%, whereas 3.33% of neonates died within 7 days of life. Neonatal morbidity was higher in emergency CS, similar to respiratory depression at birth (OR: 6.00, 95% CI 3.06-11.78, P < 0.001), respiratory distress (OR: 4.6, 95% CI 2.74 -7.82, P < 0.001) and requirement of resuscitation (OR: 5.54, 95% CI 2.98 -10.32, P < 0.001). Factors such as emergency CS [adj OR: 13.35(1.69 -105.38), P = 0.014], prematurity [adj OR: 10.08 (3.33 -30.47), P < 0.001] and Apgar score < 7 at 10 minutes [adj OR: 79.56 (16.63 - 381.50), P < 0.001] were independently associated with NICU admissions and neonatal mortality.
Conclusions: Newborns delivered through emergency CS had a higher morbidity and mortality rate compared to elective CS. Adequate antenatal care and early referral may convert this emergency CS to normal or elective CS and can reduce neonatal morbidity and mortality.

Elective Caesarean Section; Emergency Caesarean Section; Neonatal Outcome

© Copyright 2017 - Growth and Development Research Center
Alternative site location:

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2024, Site last up-dated on 01-Sep-2022.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Google Cloud Platform, GCP, Brazil