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Arch Med Sci. 2017 Apr 01;13(3):629-634. doi: 10.5114/aoms.2017.67292. Epub 2017 Apr 20.

Impact of antenatal oxytocin infusion on neonatal respiratory morbidity associated with elective cesarean section.

Archives of medical science : AMS

Ibrahim Abdelazim, Mohamed M M Farghali, Assem A M Elbiaa, Khaled M Abdelrazak, Mohamed Hussain, Amr H Yehia, Mona Rashad

Affiliations

  1. Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
  2. Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait.

PMID: 28507580 PMCID: PMC5420644 DOI: 10.5114/aoms.2017.67292

Abstract

INTRODUCTION: This study was designed to estimate respiratory morbidity associated with elective cesarean section (ECS) and to determine the effect of antenatal oxytocin exposure on this morbidity.

MATERIAL AND METHODS: Nine hundred and sixty-five neonates ≥ 37 weeks' gestation delivered by cesarean section during 1 year were included in this retrospective study and classified into two groups according to oxytocin exposure before cesarean deliveries. Respiratory morbidity for each group was recorded and statistically analyzed.

RESULTS: Transient tachypnea of newborn (TTN) was significantly more frequent in group II (ECS group) than in group I (cesarean section after oxytocin exposure) (8.19% vs. 2.92%; respectively,

CONCLUSIONS: Neonatal respiratory morbidity associated with ECS significantly decreased after antenatal oxytocin exposure. A significant reduction of neonatal respiratory morbidity would be achieved if ECS were performed after 39 weeks' gestation.

Keywords: elective cesarean sections; morbidity; neonatal; oxytocin; respiratory

Conflict of interest statement

The authors declare no conflict of interest.

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