Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The mode of delivery has been implicated in influencing neonatal outcomes, particularly the development of Neonatal Respiratory Distress Syndrome (NRDS). This study aims to compare the incidence of NRDS among neonates delivered via cesarean section versus those delivered vaginally. A retrospective cohort study was conducted at a tertiary care center, involving 120 neonates split evenly between cesarean sections and vaginal deliveries. The study assessed the incidence of NRDS, analyzing the impact of delivery mode on respiratory outcomes. Odds ratios, confidence intervals and p‐values were calculated to determine the statistical significance of the findings. The incidence of NRDS was 40% in neonates delivered by cesarean section and 31.67% in those delivered vaginally, with an odds ratio of 1.35 (95% CI: 1.05‐1.74., p=0.021) for cesarean deliveries indicating a higher risk of NRDS. Gestational age significantly affected NRDS outcomes, particularly in neonates born before 37 weeks (62.50% incidence, OR=3.75., 95% CI: 2.58‐5.45., p<0.0001). Antenatal steroid use was associated with a reduced risk of NRDS (12.50% incidence, OR=0.33., 95% CI: 0.12‐0.91., p=0.028). Cesarean delivery is associated with a higher incidence of NRDS compared to vaginal delivery. Gestational age and antenatal interventions significantly influence the risk, highlighting the importance of tailored perinatal care to mitigate adverse neonatal respiratory outcomes.
How to cite this article:
Naimisha Reddy Kasireddy, G. Bharath Kumar and Valluri Sowmya Choudri. Comparative Outcomes of Cesarean Section Versus Vaginal Delivery on Neonatal Respiratory Distress Syndrome.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.210.214
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.210.214