All issues > Volume 30(7); 1987

Original Article

J Korean Pediatr Soc. 1987;30(7):722-726. Published online July 31, 1987.

An Analysis of Incidence Requiring Resuscitation in Full-Term Cesarean Delivered Infants.

Ewi Seong Seo¹, Cheol Soo Dan¹, Woo Yeong Chung¹, Soon Yong Lee¹, Goo Hwa Je²

¹Department of Pediatrics, Inje Medical College, PuSan Paik Hospital, Korea
²Department of Obstetrics and Gynecology, PuSan Paik Hospital, Korea

Abstract

An analysis of incidence requiring resuscitation in relation to the indication of cesarean section in full-term deliveries were carried out retrospectively during 24 months from January 1984 to December 1985. The results obtained were as follows. 1) The overall incidence of cesarean delivery was 17.2% (397 cases out of 2,308 total deliveries) and the rate of full-term was 77.6% of total cesarean deliveries. 2) Among full-term cesarean delivered infants, low birth weight infants were 10 cases (3.2%) and high birth weight infants were 30 cases (9.8%). 3) In 308 cases of full-term cesarean delivered infants, repeat cesarean section was the most frequent reason according to the indication of cesarean delivery (47.4%). Other reasons in order of frequency were cephalopelvic disproportion (20.8%), abnormal presenta- tion (17.8%), obstetric complication (8.8%) and fetal distress (4.9%). 4) The overall rate of intensive care required at operation room for the full-term cesarean delivered infants was 5.8% and infants delivered by cesarean section because of fetal distress, cephalopelvic disproportion and obstetric complication had relatively higher rate of intensive care at operation room that is 20% (3/15), 12.5% (8/64), 11.1% (3/27) respectively. 5) The overall rate of intensive care required at nursery room for the full-term cesarean delivered infants was 1.1%. Among these, 3 cases were required intensive care also at operation room continuously.

Keywords :Full-term cesarean delivered infant; Resuscitation; Indication of cesarean section