Neonatal Complications According to Methods of Delivery in Alzahraa Maternity Teaching Hospital in at Najaf Alashraf City

Abstract

Background Globally, the rate of Cesarean section delivery has been steadily increasing during the last two decades. Vaginal delivery is becoming less common as the prevalence of caesarean section rises consistently in many nations. Birth via Caesarean section (C/S) has ramifications for both mothers' and babies' current and future health. The purpose of this research is to identify Neonatal complications outcomes during and after (NVD &CS). Methodology A descriptive and analytic study was carried to identify Neonatal complications outcomes during and after (NVD &CS) attending to AL Zahraa Maternity Teaching Hospital in AL Najaf Al Ashraf city. During period from 15th July to 28^thDecember, 2021. Purposive sample of (200) women. (100) have cesarean section and (100) have delivered by normal vagina selected from Hospitals mention above. Use questionnaire format consist of tree part neonatal demographical data and newborn have complications during and after (cesarean section & normal vaginal delivery) dependent on sub items. Results the highest percentage of newborn in the two group (80% NVD vs 88% CS) were the newborns with body weight (> 2500g), (55% NVD vs 62% CS) were have hade Newborns of male gender, and (100% NVD vs 98% CS) were have hade alive Newborns. That 1% of them Complications during NVD was Cephalohematoma. That Complications was. The ratio of the Newborns who have Complications after CS was more than NVD one (46% CS vs 6% NVD). Newborn Complications after CS, as it showed the fetal first min. APGAR <7 was for Most Newborns 24% then Hypoglycemia in the rate of 13%. Followed by fetal jaundice in the rate of 12%, fifth min. APGAR <7 with fetal sepsis in the rate of 5% and fetal death after cesarean section ware 2%. Newborn complications related NVD delivery as it showed the first min. APGAR <7 was (5%), fetal jaundice was (4%). Followed by fifth min. APGAR <7 and Hypoglycemia have same rate 2% and for neonatal sepsis of the Newborns have 1%. Conclusion: Both groups had a high percentage of male infants and two babies died from CS. No neonatal problems with CS but one (Cephalohematoma) during NVD. After delivery, CS had greater neonatal problems than NVD. Hypoglycemia was APGAR 7, then fetal jaundice (5 min). After cesarean surgery there is fetal infection and fetal death, but neonate issues with NV first min. APGAR< 7, fetal jaundice, 5 min. Neonatal Sepsis, APGAR <7, Hypoglycemia. Recommendation: Local strategies and policies should be established and implemented to improve birth outcomes.