Elective Cesarean Section Induction Delivery Time and Development of Transient Tachypnea of The Newborn; A Prospective Clinical Study

Abstract

Background: Neonates born via elective cesarean section have a higher risk of respiratory complications such as respiratory distress syndrome or transient tachypnea of the newborn (TTN). Objectives: To assess the relation between each of the induction delivery time and the uterine incision delivery time during Cesarean Section (CS) with the incidence of transient tachypnea of the newborn. Patients and methods: This was a prospective cohort study conducted on a total of 110 pregnant women at term (completed 37 weeks) scheduled for elective Cesarean Section at Obstetrics and Gynecology Department at El Mansoura University Hospital. Results: Our results showed that there were no statistically significant relations between all sociodemographic characteristics (Age, Menstrual history, Parity, Number of abortions, Number of normal vaginal delivery, Number of Cesarean Section delivery, Duration of pregnancy by date/weeks, Duration of pregnancy by US/weeks, Surgical history, BMI, PPD, FL, FHR, Placenta, HB, Platelet, INR, blood groups and (RH) of the studied cases and incidence of TTN among their neonates (P>0.05). There was no statistically significant correlation between induction to delivery interval, uterine incision to delivery interval, and skin incision to delivery interval in the context of incidence of TTN (P>0.05). Conclusion: Induction delivery time, skin incision delivery time and the uterine incision delivery time during CS seemed to have no significant correlation with the incidence of transient tachypnea of the newborn, likewise the Apgar score.