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Previous issue date: 2013-03-04 / Background: Elective cesarean section is a common procedure. However, the consequences of this procedure to the baby are not well known.
Objective: to evaluate in-hospital clinical outcome of full-term newborn according to the delivery method.
Methods: this is a retrospective cohort conducted at Moinhos de Vento Hospital a private hospital with opened clinical staff between January 2010 and April 2011. The study included 2014 newborns with gestational age ≥38 weeks. The babies were grouped as: Group I elective cesarean section and group II vaginal delivery. Newborns with severe malformation and diabetic mothers were excluded.
Results: the study included 1671 newborns delivered by cesarean section and 343 by vaginal delivery. There was no significant difference between the groups as far hospitalization in the special care unit was analyzed. Transient tachypnea of the newborn was more frequent in group I: 29 (40.8% of those admitted in the special care unit) and 22 of these 29 (75,9%) had 38 gestational weeks. Apgar proportions less than seven in the first minute. The < 2.5 percentile was 4.4% for group II and 1.7% for group I (OR 2.58 (1.35-4.92). The difference in Apgar score was not significant between the groups at 5 minutes of life.
Conclusion: it was not observed negative effects in in-hospital clinical results in babies delivered by elective C-section except for the increase in the occurrence of transient tachypnea. The highest incidence of low Apgar in the group of vaginal delivery and should be further investigated. / Introdu??o: A cesariana eletiva ? um procedimento comum. Entretanto, as consequ?ncias deste procedimento para o beb? ainda n?o s?o claramente conhecidas. Objetivo: Avaliar o desfecho cl?nico intra-hospitalar de rec?m-nascidos a termo, conforme a via de nascimento. M?todos: Estudo de coorte retrospectivo, realizado no Hospital Moinhos de Vento, hospital privado, com corpo cl?nico aberto, entre janeiro de 2010 a abril de 2011. Foram inclu?dos no estudo 2014 rec?m-nascidos com idade gestacional ≥ 38 semanas. Os beb?s foram divididos em dois grupos: Grupo I - Cesariana eletiva e Grupo II - Parto vaginal. Foram exclu?dos rec?m-nascidos com malforma??o grave e filhos de m?e diab?tica. Resultados: Foram inclu?dos 1671 nascidos de cesariana eletiva e 343 de parto vaginal. N?o houve diferen?a significativa entre os dois grupos quando analisadas a interna??o em unidade de cuidados especiais. A taquipn?ia transit?ria do rec?m-nascido foi mais frequente no Grupo I: 29 (40,8% dos internados na unidade de cuidados especiais) sendo que 22 (75,9%) destes tinham idade gestacional de 38 semanas. A ocorr?ncia de Apgar abaixo do percentil < 2,5 foi de 4,4% para o Grupo II e de 1,7% para o Grupo I - OR 2,58 (1,35-4,92). A diferen?a no Apgar n?o foi significativa aos 5 minutos de vida. Conclus?o: N?o foram observados efeitos negativos no resultado clinico intra-hospitalar em beb?s nascidos por cesariana eletiva, exceto pelo aumento de ocorr?ncia de taquipn?ia transit?ria. A maior ocorr?ncia de Apgar baixo no grupo II parto vaginal deve ser investigado posteriormente.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1412 |
| Date | 04 March 2013 |
| Creators | Moraes, Edite Terezinha |
| Contributors | Fiori, Humberto Holmer |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 3098206005268432148, 500, 600, -8624664729441623247 |
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