NEONATAL APGA R AND BIRTH WEIGHTS IN RELATION TO ELECTIVE AND EMERGENCY CESAREAN SECTION

Dr. Poonam Chouhan, Dr. Ankaj Sharma*, Dr. Rama Thakur, Dr. Suman Thakur and Dr. B. R. Thakur

ABSTRACT

Background: Poor neonatal outcomes post caesarean delivery has been defined as mortality, low APGAR scores or admission to the neonatal intensive care unit .We conducted a study to compare the Neonatal APGA R and Birth weights in relation to elective and emergency cesarean section in a tertiary care centre. Material & Methods: This was a Cross sectional comparative hospital-based study conducted at Kamla Nehru State Hospital for the Mother and Child, Department of Obstetrics and Gynecology, Indira Gandhi Medical College, Shimla from June 1, 2020 to May 31st, 2021). A total of 200 consenting participants (100 participants undergoing elective cesarean section & 100 participants undergoing emergency cesarean section) were enrolled. The analysis was performed using statistical package for social sciences (SPSS) version 21. Results: All neonates born by elective cesarean section had APGAR score >8 at 1 & 5 minutes. Whereas 85% neonates born by emergency cesarean section had APGAR score >8, 7% had APGAR score <7 & 8% had APGAR score between 7-8 at one minute. 5 minutes APGAR score was <7 in 3%, between 7-8 in 6% & >8 in 91% in neonates born by emergency cesarean section. Majority (90%) of neonates born by elective cesarean section had birth weight between 2.5-3.5 kg & 84% neonates who were born by emergency cesarean section had birth weight between 2.5-3.5kg. Conclusion: Neonates born by elective cesarean section had better APGAR score and Birth weight as compared to neonates born by emergency cesarean section.

Keywords: Neonatal APGAR, Birth weights, elective and emergency cesarean section.