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• W2194548105 abstract "<h3>Objective</h3> To compare preductal oxygen saturation (SpO₂), heart rate (HR) and cord blood pH after birth in healthy term neonates delivered by elective caesarean delivery (CD) and vaginal delivery (VD), managed according to 2010 Neonatal Resuscitation Guidelines. <h3>Design</h3> In a prospective cohort study, sensors were placed on the right hand of the neonate. <h3>Setting</h3> III level Maternity ward of the Department of Obstetrics and Gynaecology of Padua University, Padua, Italy. <h3>Main outcome measures</h3> SpO₂ and HR were recorded during the first 10 min after birth. Umbilical artery blood gas analysis was obtained immediately after delivery. <h3>Patients</h3> We studied 60 newborn infants by elective CD and 60 by VD. <h3>Results</h3> The SpO₂ gradually significantly improved during the first 10 min of life (p<0.0001), with a trend towards a slower increase in caesarean-delivered neonates (p=0.09) (Friedman9s two-way non-parametric analysis of variance (ANOVA)). Instead, HR varied during the first 10 min of life (p=0.001) without significant difference between the two delivery groups (p=0.41). Umbilical artery pH values were lower in VD (p=0.005). At 10th minute, elective CD had a significantly negative effect on SpO₂ (ß=−2.44; 95% CI −4.52 to −0.36; p=0.02) with respect to VD. Conversely, at 10th minute, delivery mode had no statistically significant effect on HR (ß=0.33; 95% CI −9.39 to 10.01; p=0.95). <h3>Conclusions</h3> In healthy term neonates, the SpO₂ gradually improved during the first 10 min of life. At 10th minute, elective CD had a significantly negative effect on SpO₂, but these changes did not result in an impaired HR pattern." @default.
• W2194548105 created "2016-06-24" @default.
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• W2194548105 date "2015-12-07" @default.
• W2194548105 modified "2023-09-27" @default.
• W2194548105 title "Elective caesarean delivery adversely affects preductal oxygen saturation during birth transition" @default.
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• W2194548105 doi "https://doi.org/10.1136/archdischild-2015-308304" @default.
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