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Perinatal outcome of neonates born by caesarean section 

Perinatal outcome of neonates born by caesarean section
Perinatal outcome of neonates born by caesarean section

Emily Robertson

and Tom Lissauer

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date: 27 January 2021

The neonatal consequences of caesarean section should be considered when making decisions and counselling parents regarding the mode and timing of delivery. This chapter aims to provide an evidence-based summary of the potential neonatal complications and outcomes of caesarean delivery on the neonate. There is an increased risk of respiratory complications with caesarean delivery, as compared with vaginal delivery, because of increased rates of transient tachypnoea of the newborn, respiratory distress syndrome, and pneumothorax. Recent evidence has shown a clear neonatal advantage in waiting until 39 weeks gestation for elective caesarean section whenever possible, as it reduces this risk of respiratory morbidity. Delivery by caesarean section not only alters respiratory adaptation at birth but has wider physiological effects on endocrine, metabolic, gastrointestinal, and haematological systems. In addition to these short-term consequences, there is growing literature suggesting that caesarean delivery influences long-term development and affects the health of the offspring.

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