Perinatal aspects of cesarean section

Abstract

Objective: To evaluate influence of cesarean section on perinatal outcome.

Full Text

Methods: 112 pregnant were included in the study. 85 among them were delivered by cesarean section and 27 - by vaginal labor. Ultrasound examination, Doppler and cardiotocographia of fetus, hemostasiologic analyses were fulfilled in both groups of patients. Newborns’ condition was statistically analyzed soon after birth and in early neonatal period.

Results: During last decade strong correlation is seen between cesarean section rate and perinatal mortality. So, an increase of abdominal delivery rate in the Center from 10% in 1976 to 40,3% in 1996 allowed to decrease perinatal mortality from 23 to 8. Stillborn index decreased from 7,1 to 4, and percent of intranatal death decreased practically in two times. Especially, the decrease of stillborn at term should be stressed, index that decreased from 1,7 in 1986 to 0,5 in 1996, more then in 3 times, but among preterm babies - from 72,7 to 59,0. Early neonatal mortality decreased in 2,5 times (from 10,8 to 4,0), and among term newborns decreased from 1,3 to 1,0, but in preterm ones - from 100,4 to 48,6.

Conclusions: Cesarean section carries the intranatal risk factor for the fetus and newborn. Early neonatal period is more favorable in newborns delivered by cesarean section during labor. In the causative factors of intranatal death intracranial labor trauma is absent.