Shaghayegh Rahmani; Sadegheh Ayati; Gholam Ali Maemoori; Reza Saeedi; Mahboobeh Gholami Robatsangi
Volume 16, Issue 2 , July and August 2009, , Pages 108-113
Abstract
Background and Purpose: Because of the uncontrolled prevalence of cesarean in Iran and its complications for mother and infant with further social and ethical consequences this study was conducted to compare the neonatal complications in newborns by cesarean and vaginal delivery. Methods and Materials: ...
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Background and Purpose: Because of the uncontrolled prevalence of cesarean in Iran and its complications for mother and infant with further social and ethical consequences this study was conducted to compare the neonatal complications in newborns by cesarean and vaginal delivery. Methods and Materials: This cross-sectional analytical deh1ive study was conducted on infants born at the maternity ward of Imamreza Hospital and Ghaem Hospital in Mashad Iran. The sample size with the confidence interval of 95% and test power of 80% was estimated to be 770 neonates. The obtained data were analyzed in SPSS 11.5 using Student t-test Mann Whitney U and chi-square test. Results: Vaginal delivery was attempted by 344 women and 426 women underwent elective cesarean delivery. The two delivery procedures were significantly different (p=0.002) as for the occurrence of RDS which occurred in 31 cesarean cases (7.3%) and 12 vaginal cases (3.7%). Also in 14 cesarean cases (3.4%) and 24 vaginal cases (7%) asphyxia occurred. Transient tachypnea was observed to occur in 14 cesarean cases (3.3%) and 2 vaginal cases (0.6%) and the difference between the two groups was statistically significant (p=0.001). Hospitalization in NICU was prescribed for 28 cesarean cases (6.6%) and 33 vaginal cases (10.2%) and the difference between the two groups was statistically significant (p=0.001). Six cesarean cases (1.4%) and 48 vaginal cases (14%) experiences labor disorders and the difference between the two groups was statistically significant (p
Elahe Siddighi Loi; Shaghayegh Rahmani; Reza Saeedi; hamide Jafari
Volume 15, Issue 3 , September and October 2008, , Pages 164-168
Abstract
Background and Purpose: By defining the exact time of fetus maturity complications and side effects could be predicted and best decisions could be made. Since the present methods are complicated time-consuming and stressful for the neonates researchers decided to compare the simple Klimek method with ...
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Background and Purpose: By defining the exact time of fetus maturity complications and side effects could be predicted and best decisions could be made. Since the present methods are complicated time-consuming and stressful for the neonates researchers decided to compare the simple Klimek method with the New Ballard method. Methods and Materials: This study is a deh1ive-analytical cross-sectional research in which 229 neonates who were admitted to the postpartum wards in Qaem and Imam Reza Hospitals in Mashad from April through September 2005 were sampled through non-random and purpositive sampling. Qualified neonates in a single group were examined for maturity by both Klimek and New Ballard methods. The first neonate was examined by the first co-researcher with New Ballard method and immediately examined by the second co-researcher with Klimek method. The second neonate was examined by the first co-researcher with Klimek method and then immediately by the second co-researcher with Ballard method. The examinations were done in the first 6-12 hours after birth. Analysis of data was conducted in SPSS using Mann Whitney U and Kappa Coefficient. Results: In the present study determination of gestational age via 2 methods (New Ballard and LMP) was not statistically different; and in 74.6% (171 cases) the same gestational age was obtained by both methods (p=0.664). Also determination of gestational age by Klimek method and LMP was not statistically different; and 75.9% (174 cases) the same gestational age was obtained by both methods (p=0.943). In 51.5% (118 cases) both methods detected mature neonates (K=0.806). Conclusion: The simple Klimek Method is completely compatible with the New Ballard and LMP methods in determining neonatal maturity.