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- Title
Comparison of oxygen saturation between Term and Preterm Newborns delivered by normal versus cesarean route.
- Authors
Mannan, M. A.; Chowdhury, Ajmery Sultana; Afroze, Sharmin; Akter, Shahana; Rahman, Md. Mozibur; Khayer, Md. Abul; Begum, Nargis Ara
- Abstract
Introduction: Neonates undergo major physiologic changes during transition from intrauterine to extra-uterine period. Although, this transition is smooth mostly, 5-10% needs some assistance in breathing. The indications and timing of supplemental oxygen therapy to assist the newborn in this transition has been a matter of debate. Objective: To observe the range of oxygen saturation among healthy newborns in the first 10 minutes of life and to compare those with different gestation and mode of delivery. Materials and Methods: This cross-sectional study was conducted in the Department of Obs & Gynae, BSMMU for 9 months. All healthy neonates born by normal vaginal or cesarean delivery were included. For each newborn, oxygen saturation was recorded at 1, 5, and 10 minutes after birth and every 5 minutes thereafter till readings from both these sites crossed 90% and equalized. Parents were interviewed with a specific pre-designed and pre-tested questionnaire. Collected data were analyzed by using SPSS v20. Results: A total of 300 newborn data were analyzed. Newborns who were born by cesarean delivery had lower SpO2 than infants born vaginally (p <0.001) and they took longer time to reach SpO2>85%. The median SpO2 did not reach 90% until 5 minutes of life in either group. Significant difference in oxygen saturation was also found at 1, 5 & 10 minutes of life between pre-term & and term newborns (P value <0.001). Conclusion: Oxygen saturation was low in babies who were delivered by cesarean section compared to those delivered by normal vaginal route.
- Subjects
OXYGEN saturation; NEWBORN infants; DELIVERY (Obstetrics); OXYGEN therapy; CESAREAN section
- Publication
Bangladesh Journal of Medical Science, 2023, Vol 22, Issue 2, p368
- ISSN
2223-4721
- Publication type
Article
- DOI
10.3329/bjms.v22i2.64997