Peculiarities of newborn adaptation after extraperitoneal cesarean section depending on fetus condition and arid period duration

详细

Extraperitoneal cesarean section (ECS) is an operation with a high infectious risk case. The important characteristic of ECS outcome is the child’s health and adaptation in early neonatal period. We have analyzed the features of adaptation for 56 newborns: 15 - after urgent and 41 - after planned ECS. The X- square statistical criterion was used.

全文:

Results. Fetus with intrauterine disorders (IUD) demonstrate the newborn asphyxia in 73% cases compared to 33% without it (P < 0.04). The cerebral disorders (CD) meet in children with IUD in 91% cases against 58 % without it (P < 0.05). The 73% of newborn with IUD needs for prolonged nursering, against 20%, without it (P < 0.003). The children without IUD have comparatively short adaptation period in 53% cases (P < 0.02) (in three days they achieved satisfactory condition). The children with IUD need for a rather long adaptation time. The newborn after arid period more than 18 hours have the frequency of asphyxia 77% compared to 42% without it (P < 0.03), ICD frequency - 84% against 45% (P < 0.02), FA frequency - 19% against 59% (P < 0.01). We conclude that, for better fetus health the ECS is selected after arid period less than 18 hours.