Full term newborns adaptation after elective cesarean section

Aim: To determine the effect of non-complicated pregnancies planned cesarean section compared with natural childbirth for the adaptation of full-term (37 - 41+6 weeks) newborns. Objectives: 1. To determine the most common respratory complications of neonates after planned cesarean section in uncomplicated pregnancies. 2. To investigate and compare the incidence of respiratory complications between the newborns delivered naturally and by planned cesarean section. 3. To evaluate the effect of mode of childbirth on breast feeding. Materials and methods: Retrospective study of adaptation disorders after birth trends in 1213 full-term neonates born in LSMU KK in 2016-2017. Subjects were divided into two groups according to mode of delivery. Data were collected from medical records. Results: In vaginally born newborns, respiratory morbidity occurred in 1 % (n=10) newborns. In newborns born after planned SC - 6,8 % (n=14) (p<0,05). Respiratory complications after birth occurred in 1,98 % (n=24) of all newborns. Among those born after the planned SC the highest proportion of complications – 71,43% (n=10) - was increased oxygen demand; 35,71% (n=5) - intercostal muscles retractions; 28,57% (n=4) - resuscitation; 28,57% (n=4) - cyanosis; 21,43% (n=3) – tachypnea; 21,43% (n=3) - NICU status. Of all the newborns who participated in the study, 92% (n=1116) after birth were breast-fed and 8% (n = 97) of newborns received additional feeding. 94% (n=947) of newborns born vaginally were fed exclusively with mother's milk and 6% (n=60) were. Among newborns born after the planned SC, 82% (n = 169) were fed exclusively with mother's milk and 18% (n=37) were given additional feeding. (p