Comparison of Neonatal Complications in Newborns by Cesarean and Vaginal Delivery

Background and Because of the uncontrolled prevalence of cesarean in Iran and its complications for mother and infant with further social and ethical consequences this study was conducted to compare the neonatal complications in newborns by cesarean and vaginal delivery.Methods and Materials: This cross-sectional analytical deh1ive study was conducted on infants born at the maternity ward of Imamreza Hospital and Ghaem Hospital in Mashad Iran. The sample size with the confidence interval of 95% and test power of 80% was estimated to be 770 neonates. The obtained data were analyzed in SPSS 11.5 using Student t-test Mann Whitney U and chi-square test. Vaginal delivery was attempted by 344 women and 426 women underwent elective cesarean delivery. The two delivery procedures were significantly different (p=0.002) as for the occurrence of RDS which occurred in 31 cesarean cases (7.3%) and 12 vaginal cases (3.7%). Also in 14 cesarean cases (3.4%) and 24 vaginal cases (7%) asphyxia occurred. Transient tachypnea was observed to occur in 14 cesarean cases (3.3%) and 2 vaginal cases (0.6%) and the difference between the two groups was statistically significant (p=0.001). Hospitalization in NICU was prescribed for 28 cesarean cases (6.6%) and 33 vaginal cases (10.2%) and the difference between the two groups was statistically significant (p=0.001). Six cesarean cases (1.4%) and 48 vaginal cases (14%) experiences labor disorders and the difference between the two groups was statistically significant (P<0.001).....