Cesarean Delivery and Respiratory Distress Syndrome in Late Preterm Infants

Eni Rahmawati Eni Rahmawati,Mekar Dwi Anggraeni Mekar Dwi Anggraeni,Erni Setiyowati Erni Setiyowati

doi:10.32734/ijns.v2i2.4969

Eni Rahmawati Eni Rahmawati, Mekar Dwi Anggraeni Mekar Dwi Anggraeni + Show 1 more

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Cesarean sections (C-sections) associated with an increased risk of atopic disorders in infants. Late preterm infants born by C-sections tend to have more breathing problems especially Respiratory distress syndrome (RDS). RDS is one of the most common causes of respiratory morbidity and mortality in late preterm infants. Respiratory Distress Syndrome is one of the main causes of respiratory failure and neonatal death in premature infants and is caused by a lack of pulmonary surfactant due to fetal lung immaturity. The objectives of this research are to analyze the relationship between cesarean delivery and respiratory distress syndrome in late preterm infants. This type of research uses a type of quantitative research. The study design is a retrospective cohort study with a study cross-sectional approach. The sample in this study were 155 late preterm infants. This research was conducted in January-April 2019 in the Prof. DR. Margono Soekarjo Purwokerto. The analysis used univariate and bivariate analysis using The Chi-square test. The results of this study showed there is a significant relationship between C-sections and respiratory distress syndrome from p-value of 0.013 (> 0.05). Based on the results of this study, nurses are expected to recognize that C-sections delivery one of the risk factors of RDS in late preterm infants.

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Cesarean sections (C-sections) delivery is the most common operation performed for the reason that it is repeated elective cesarean section, because of the major complications of uterine rupture, hysterectomy, injury to the uterine artery, bladder, and ureter
The objectives of this research are to analyze the relationship between cesarean delivery and respiratory distress syndrome in late preterm infants
The aim of the research was to analyze the relationship between cesarean delivery and respiratory distress syndrome in late preterm infants

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Introduction

Cesarean sections (C-sections) delivery is the most common operation performed for the reason that it is repeated elective cesarean section, because of the major complications of uterine rupture, hysterectomy, injury to the uterine artery, bladder, and ureter. In this procedure, an abdominal incision is made below the navel in the midline and through the uterine wall [1], [2]. Delivery of C-sections can be elective, that is, it is planned for a date close to the woman's birth date for medical or other reasons. C-sections surgery is performed if the umbilical cord is pressed between the head and the wall of the birth canal (placenta previa), or if the placenta detaches prematurely from the uterus. All of these situations are dangerous for the fetus because the oxygen supply to the fetus is reduced, and proper delivery is required. C-sections surgery can prevent shoulder dystocia, fetal trauma, neonatal encephalopathy, and intrauterine fetal death [3]

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