Abstract

NEONATAL AND EARLY CHILDHOOD OUTCOMES OF CESAREAN

Yusra Waheed Abdul Hasan* and Shaymaa Mohammed Arrar

Abstract

There have been three major theoretical mechanisms proposed to explain why higher rates of morbidity are seen among neonates delivered by cesarean. The first, which primarily attempts to address short-term outcomes, involves ECD disrupting or pre-empting a process that involves the endogenous hormones associated with active labor triggering fetal lung fluid to be actively reabsorbed by the fetus. The second, iatrogenic prematurity, which attempts to address both short-term and long-term outcomes, involves the potential inaccuracy of determining gestational age combined with attempting to deliver prior to the onset of spontaneous labor. The third, which attempts to address long-term outcomes, is based on cesarean delivery causing the neonate's intestinal tract to be initially colonized with the “wrong” types of bacteria, which causes subtle changes in the child’s immune and metabolic systems.

Keywords: Neonatal, early childhood, cesarean delivery.