CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY

BACKGROUND AND OBJECTIVE: Respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN) are the most frequent acute respiratory morbidity in newborns which vary according to the mode of delivery. The purpose of this study was to determine the influence of delivery mode on the frequenc...

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Autores principales:	Y Zahedpasha, M Zeinalzadeh, T Taheri, M Baleghi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2008
Materias:	respiratory distress syndrome transient tachypnea of newborn vaginal delivery elective cesarean emergency cesarean Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e07a880777304dd4aa9d1e718a2178f2
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spelling	oai:doaj.org-article:e07a880777304dd4aa9d1e718a2178f22021-11-10T09:07:43ZCORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY1561-41072251-7170https://doaj.org/article/e07a880777304dd4aa9d1e718a2178f22008-10-01T00:00:00Zhttp://jbums.org/article-1-2988-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN) are the most frequent acute respiratory morbidity in newborns which vary according to the mode of delivery. The purpose of this study was to determine the influence of delivery mode on the frequency of RDS and TTN in newborns based on gestational age and fetus gender.METHODS: This prospective study was performed on all newborns delivered in Babol Clinic hospital, Babol, Iran during 2006. All newborns delivered by three different delivery modes: vaginally delivery (VD) (n=380), cesarean delivery without labor (elective cesarean, n=1305) and cesarean in labor (emergency cesarean, n=338) were assessed according to RDS and TTN observed in newborns. Neonates with anomaly, asphyxia and meconium staining amniotic fluid were excluded from this study. Data was analyzed using Fisher exact test and relative risk (RR) was calculated.FINDINGS: Frequency of RDS in cesarean section was more than vaginal delivery (8.5% vs 4.9%), (RR=1.7, 95% CI= 1.05-3), p=0.016. Frequency of RDS in elective cesarean was more than emergency cesarean (9.3% vs 5.7%), (RR=1.7, 95% CI= 1.04-2.7), p=0.017. Frequency of RDS in elective cesarean in neonates more than 37 weeks gestational age was more than emergency cesarean (8.6% vs 1.1%), (RR=1.8, 95% CI= 1.2-2.6), p=0.000. Frequency of TTN in cesarean section was more than vaginal delivery (9.2% vs 3.1%). (RR=3.1, 95% CI= 1.6-6.1), p=0.000. Frequency of RDS in boys was more than girls (10% vs 5.8). CONCLUSION: The results showed that the occurrence rate of RDS and TNN in newborns delivered by elective cesarean and male fetus was more. So neonatal care plan for decreasing cesarean without labor is necessary especially in male fetus.Y Zahedpasha,M ZeinalzadehT Taheri,M BaleghiBabol University of Medical Sciencesarticlerespiratory distress syndrometransient tachypnea of newbornvaginal deliveryelective cesareanemergency cesareanMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 4, Pp 30-36 (2008)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	respiratory distress syndrome transient tachypnea of newborn vaginal delivery elective cesarean emergency cesarean Medicine R Medicine (General) R5-920
spellingShingle	respiratory distress syndrome transient tachypnea of newborn vaginal delivery elective cesarean emergency cesarean Medicine R Medicine (General) R5-920 Y Zahedpasha, M Zeinalzadeh T Taheri, M Baleghi CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
description	BACKGROUND AND OBJECTIVE: Respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN) are the most frequent acute respiratory morbidity in newborns which vary according to the mode of delivery. The purpose of this study was to determine the influence of delivery mode on the frequency of RDS and TTN in newborns based on gestational age and fetus gender.METHODS: This prospective study was performed on all newborns delivered in Babol Clinic hospital, Babol, Iran during 2006. All newborns delivered by three different delivery modes: vaginally delivery (VD) (n=380), cesarean delivery without labor (elective cesarean, n=1305) and cesarean in labor (emergency cesarean, n=338) were assessed according to RDS and TTN observed in newborns. Neonates with anomaly, asphyxia and meconium staining amniotic fluid were excluded from this study. Data was analyzed using Fisher exact test and relative risk (RR) was calculated.FINDINGS: Frequency of RDS in cesarean section was more than vaginal delivery (8.5% vs 4.9%), (RR=1.7, 95% CI= 1.05-3), p=0.016. Frequency of RDS in elective cesarean was more than emergency cesarean (9.3% vs 5.7%), (RR=1.7, 95% CI= 1.04-2.7), p=0.017. Frequency of RDS in elective cesarean in neonates more than 37 weeks gestational age was more than emergency cesarean (8.6% vs 1.1%), (RR=1.8, 95% CI= 1.2-2.6), p=0.000. Frequency of TTN in cesarean section was more than vaginal delivery (9.2% vs 3.1%). (RR=3.1, 95% CI= 1.6-6.1), p=0.000. Frequency of RDS in boys was more than girls (10% vs 5.8). CONCLUSION: The results showed that the occurrence rate of RDS and TNN in newborns delivered by elective cesarean and male fetus was more. So neonatal care plan for decreasing cesarean without labor is necessary especially in male fetus.
format	article
author	Y Zahedpasha, M Zeinalzadeh T Taheri, M Baleghi
author_facet	Y Zahedpasha, M Zeinalzadeh T Taheri, M Baleghi
author_sort	Y Zahedpasha,
title	CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
title_short	CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
title_full	CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
title_fullStr	CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
title_full_unstemmed	CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY
title_sort	correlation between the mode of delivery with the risk of neonatal respiratory morbidity
publisher	Babol University of Medical Sciences
publishDate	2008
url	https://doaj.org/article/e07a880777304dd4aa9d1e718a2178f2
work_keys_str_mv	AT yzahedpasha correlationbetweenthemodeofdeliverywiththeriskofneonatalrespiratorymorbidity AT mzeinalzadeh correlationbetweenthemodeofdeliverywiththeriskofneonatalrespiratorymorbidity AT ttaheri correlationbetweenthemodeofdeliverywiththeriskofneonatalrespiratorymorbidity AT mbaleghi correlationbetweenthemodeofdeliverywiththeriskofneonatalrespiratorymorbidity
_version_	1718440334775549952

CORRELATION BETWEEN THE MODE OF DELIVERY WITH THE RISK OF NEONATAL RESPIRATORY MORBIDITY

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