Perinatal outcomes in multiple cesarean sections

Abstract

Introduction. Multiple cesarean sections (CS), especially elective CS, without urgent medical indications, are associated in the short and long term with risks for both mother and child. Children born by elective repeated CS are more prone, in the short term, to breathing difficulties (transient tachypnea of the newborn, respiratory distress syndrome) and the need to be admitted to the neonatal intensive care unit. In the long term, increased risks of immune disorders, obesity and asthma have been identified. Aim of study. The aim of this paper is to evaluate the perinatal outcomes of multiple CC and their incidence according to the number of cesarean births. Methods and materials. The paper was based on a retrospective case-control study of 352 pregnant women aged 18-40 years, divided into 2 groups, depending on the number of previous cesarean operations. The research was conducted by studying the medical documentation (obstetric observation sheet, newborn record). The data was numbered in Excel tables. To compare the categorical variables, in batches, the χ² test was applied. The p <0.05 was considered statistically significant. Results. It was found that an increased risk of general and severe respiratory morbidity was identified for infants born with elective CS. Conclusion. The increase of the elective repeated OC rate contributes to the increase of fetal complications due to respiratory morbidity (respiratory distress syndrome, transient tachypnea of the newborn), admission to the neonatal intensive care unit. and increasing the length of hospitalization with significant medical, social and financial impact for families and medical institutions.