Open AccessThe Incidence of Acute Neonatal Respiratory Disorders in Relation to Mode Of Delivery
Author(s) -
Nielsen Thorkild F.,
Hökegård KlasHenry
Publication year - 1984
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348409154644
Subject(s) - medicine , incidence (geometry) , respiratory system , respiratory disease , relation (database) , pediatrics , intensive care medicine , lung , database , computer science , physics , optics
. Over a 3‐year period all infants (n = 7401) born at the Department of Obstetrics and Gynecology, Central Hospital, Borås Sweden, were studied for signs of respiratory disease. For all infants who developed signs of respiratory disorders the mode of delivery and the type of anesthesia used in cesarean section (CS) were analysed. The incidence of respiratory disorders in the whole material was 3.0% (n = 220) and the‐mortality rate for these disorders was 0.24%. There was a significantly higher incidence (p< 0.001) of respiratory disorders in infants weighing ≥ 2 500 g born by CS vis‐à‐vis infants born by the vaginal route. The group born by elective CS under maternal general anesthesia had a higher (p<0.05) rate of respiratory disorders than those born by elective CS under maternal epi‐dural anesthesia. It is concluded that the risk of respiratory disorders in infants delivered by CS is related to the mode of delivery per se. Consequently, a reduction in the proportion of such interventions ought to reduce the overall number of infants developing respiratory disease, as indicated in the present study.