Impact of cesarean section on transient tachypnea of the newborn: a longitudinal study

Abstract

Background: Transient tachypnea of the new born is a benign condition. The aim of the study is to find any correlation between the mode of delivery and occurrence of transient tachypnea of newborn.Methods: Study is proposed to assess the risk factor like caesarean section and its relationship with occurrence of TTN in term neonates and the clinical course of TTN cases admitted in Neonatal intensive care unit (NICU), Department of Pediatrics, Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, Telangana.Results: During the study period, total number of deliveries in our hospital was 4576. Of 356 term neonates with respiratory distress admitted in NICU, the most common cause was found to be early onset sepsis i.e 168 of 356 cases accounting for 47.19%, followed by transient tachypnea of newborn i.e., 68 of 356 cases accounting for 19.10%.Conclusions: The mode of delivery i.e caesarean section has a significant impact on transient tachypnea of newborn (TTN) with a relative risk of 3.78 compared to normal vaginal delivery. The majority of cases had mild respiratory distress and were relieved of symptoms within 3 days of hospital stay.

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

“…In contradiction to our finding, lower incidence was recorded by Tutdibi et al (8) , who have displayed that the overall incidence of TTN was 5.9 cases per 1000 singleton live births in their study cohort. In the same line, Joseph et al (9) , have displayed that; the proportion of transient tachypnea of newborn cases in elective CS is 3.14%, whereas the proportion of transient tachypnea of newborn in NVD is 0.64%.…”

Evaluation of primary caesarean section and neonatal outcomes in a tertiary care hospital and impact on current obstetric practice

“… [13] Joseph K et al (2021) also found that CS had a significant impact on transient tachypnea of newborn (TTN) with a relative risk of 3.78 when compared to normal vaginal delivery. [14] .…”

Elective cesarean section versus induced vaginal delivery: Do any differences in terms of neonatal respiratory morbidities exist?

“…At birth, a surge in catecholamines and steroid hormones occurs, and the balance of fluid movement in the alveolus switches from chloride secretion to sodium absorption, an process that causes the resorption of intra-alveolar fluid [5,6]. Certain factors, such as elective cesarean section (CS) not preceded by spontaneous labor, delivery before 39 gestational weeks, and perinatal asphyxia, interfere with the fetal-neonatal transition by interrupting absorption of the fetal alveolar fluid [7][8][9].…”