The Influence of Timing of Elective Cesarean Section on Neonatal Resuscitation Risk

Abstract

The number of cesarean sections (CS) performed worldwide has increased. Between 2000 and 2015, the percentage of babies born via cesarean section nearly doubled, rising from 12% in 2000 to 21% in 2015. The rise in primary and repeat CS accounts for this increase. The study's objective is to ascertain the early neonatal outcomes and the timing of elective cesarean births in singleton-term newborns. A descriptive cross-sectional study was conducted from November 1 to December 31, 2024, at the University Hospital's (UH) obstetrics and gynecology department. A computerized program called SPSS software (Statistical Package for the Social Sciences) 25 version was used to enter the extracted data from 201 pregnant women who were hospitalized for elective cesarean delivery. All variables were deemed statistically significant if their P-value was less than 0.05. 130 pregnant women, or 64.7% of the total, were between the ages of 26 and 35. In terms of parity, 149 pregnant women, or 74.1%, were multiparous. The majority of expectant mothers—86.6%—were certain of the date (174). The majority of patients (87.6%; 176) did not exhibit any prenatal problems. Previous cesarean sections, which accounted for 62.7% of current cesarean sections, were the primary indicator (126). A total of 87.1% (175) of neonates were born with a cephalic presentation, 10.9% (22) were born breech, and 2% (four) were born transversely. While 45.3% (91) of neonates were transported to the neonatal intensive care unit, where 20.4% (41) were placed under surveillance, 11.9% (24) had TTN, 8% (16) had RDS, 3.5% (seven) had neonatal jaundice, and 1.5% had neonatal hypoglycemia, 54.7% (110) of neonates were retained with their mothers. Additionally, 39.6% (36) of patients had admissions for fewer than 24 hours. The best time to have an elective cesarean section is crucial for achieving positive results for both the mother and the newborn, especially for expectant women who have had a previous cesarean delivery, which is high in the current study.