International Journal of Pediatrics and Neonatology

Vol. 2, Issue 1, Part A (2020)

A new maneuver in the resuscitation of newborn after caesarian delivery by the obstetrician: A case-control study

Author(s):

Mohammed Hamid Mohammed Al-sabawi

Abstract:

Background: Most of newborns who are delivered by cesarean section are subjected to transient tachypnea after delivery, so the aim of this study is to improve the respiratory outcome of these newborns that are usually complained from "wet lung syndrome".

Method: This case-control study was implemented on 500 newborn babies (250 cases and 250 controls) in 3 obstetric hospitals in Mosul city over 5 years. The maneuver is implemented by the obstetrician just after extrication of baby from uterus through compression of the chest of newborn delivered by caesarian section to simulate the squeezing effect provided during the normal vaginal delivery in order to evacuate lung fluids as much as possible.
Results: The majority of cases (78.4%) has been received little or no further resuscitation; whereas significant number of control (50.8%) was require further resuscitation and interventions (i.e. beyond the routine care).
The average of Apgar scores during resuscitation of cases has showed a clear improvement in comparison with control group.
The duration of transient tachypnea is also significantly decreased among those newborns cases which mostly ranged from few to several hours in comparison with those controls which last longer.
Conclusions: This maneuver "Mohammed's maneuver" may be effective in improving the respiratory outcome of newborns delivered by caesarian section.
 

Pages: 15-18  |  838 Views  378 Downloads

How to cite this article:
Mohammed Hamid Mohammed Al-sabawi. A new maneuver in the resuscitation of newborn after caesarian delivery by the obstetrician: A case-control study. Int. J. Pediatr. Neonatology 2020;2(1):15-18. DOI: 10.33545/26648350.2020.v2.i1a.18
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