Pattern of Newborn Babies Delivered by Cesarean Section
Tjipta, Guslihan D.
Nasution, Riza I.
MetadataShow full item record
Background The birth rate in Indonesia is still high and abnormal labor constitutes 15% of all deliveries which needs cesarean section as a solution for complicated cases. Objectives To find the general physical condition of babies bom after cesarean section as well as the characteristics of mothers who underwent cesarean section. Methods A retrospective study on newborn babies delivered by cesarean section conducted in Subdivision of Neonatology, Medical School, University of North Sumatera-Pirngadi Hospital Medan, in period of 2 years (1991-1992). Results There were 8762 babies born during the study period, 1484 babies (16.93%) delivered by cesarean section due to placenta previa (26.2%), prolonged labor (15.8%), cephalopelvic disproportion (10.3%), neglected labor (9.9%), eclampsia/preeclampsia (8.1 %), fetal distress (7.5%), previous section (6.6%), breech presentation (5.7%), solutio placenta (4.0%), and others (5 .9%). It was shown that mothers undergoing caesarean section was mainly 20-30 years old (66.4%), multigravida (47.8%), term gestational age (79.4%), and minimal antenatal care (61.3%). There were 1224 (82.5%) babies with birth weight >2500 grams and 894 (60.2%) suffered from asphyxia. Conclusions The evidence of asphyxia by cesarean section and low birth weight group was significantly different from those normally delivered (p<0.001). The mortality rate was 11 .5% due to still birth 29.2%, RDS 18.3%, sepsis 15.5%, pneumonia 12.3%, and gastroenteritis 11.5%.