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The neonatal respiratory outcome in relation to timing of elective cesarean section at 38 versus 39 week gestation : a single center based study
Joint Authors
Hanafi, Shamil Mustafa
Hashim, Ahmad Muhammad Tahir
Abd al-Raziq, Abd al-Rahman Ahmad
Ayyad, Shirin Muhammad
Source
Egyptian Pediatric Association Gazette
Issue
Vol. 61, Issue 2 (30 Jun. 2013), pp.78-82, 5 p.
Publisher
Egyptian Pediatric Association
Publication Date
2013-06-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background: Cesarean delivery per se is a risk factor of respiratory morbidity in term neonates and its timing is an adding factor of increased rates of respiratory complications.
Objective: We aimed to identify the association between elective cesarean delivery at 38 versus 39 week gestation and neonatal respiratory morbidity.
Materials and methods: We selected 200 pregnant women who underwent elective cesarean delivery at 38 or 39 week gestation at the Kasr El-Aini hospital.
Mothers were subjected to ultrasound examination.
Neonates with respiratory distress were subjected to laboratory investigations and chest X-ray.
Results: We found no association between the development of any type of respiratory distress and maternal age or parity.
The prevalence of respiratory morbidity was 25% in group A compared to 11% in group B (p= 0.01) and risk estimation showed that delivery at 38 weeks carries 2.7 time risk of having a newborn suffering from respiratory morbidity (95% CI: 1.2–5.8).
TTN was observed in 11% of group A compared to 7% of newborns of group B (p= 0.6).
RDS developed in 3 cases of group A, while none of group B developed RDS (p=0.1).
The rate of NICU admission, mechanical ventilation in the 1st 24 h and long hospital stay were insignificantly higher in group A (p>0.05).
There were no neonatal deaths in both groups.
Conclusion: Elective cesarean delivery at 39 week gestation is associated with a better neonatal respiratory outcome.
Further studies are recommended to identify the best time of elective cesarean delivery associated with the least neonatal and maternal morbidity.
American Psychological Association (APA)
Hanafi, Shamil Mustafa& Hashim, Ahmad Muhammad Tahir& Abd al-Raziq, Abd al-Rahman Ahmad& Ayyad, Shirin Muhammad. 2013. The neonatal respiratory outcome in relation to timing of elective cesarean section at 38 versus 39 week gestation : a single center based study. Egyptian Pediatric Association Gazette،Vol. 61, no. 2, pp.78-82.
https://search.emarefa.net/detail/BIM-374654
Modern Language Association (MLA)
Hanafi, Shamil Mustafa…[et al.]. The neonatal respiratory outcome in relation to timing of elective cesarean section at 38 versus 39 week gestation : a single center based study. Egyptian Pediatric Association Gazette Vol. 61, no. 2 (Jun. 2013), pp.78-82.
https://search.emarefa.net/detail/BIM-374654
American Medical Association (AMA)
Hanafi, Shamil Mustafa& Hashim, Ahmad Muhammad Tahir& Abd al-Raziq, Abd al-Rahman Ahmad& Ayyad, Shirin Muhammad. The neonatal respiratory outcome in relation to timing of elective cesarean section at 38 versus 39 week gestation : a single center based study. Egyptian Pediatric Association Gazette. 2013. Vol. 61, no. 2, pp.78-82.
https://search.emarefa.net/detail/BIM-374654
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 80-81
Record ID
BIM-374654