الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Summary
Pregnancy and delivery are considered as normal in women. Some of the deliveries are considered as high risk, some of which may require caesarean section.
So Caesarean section is normally performed when a vaginal delivery
would put the mother and baby’s life at risk but sometimes it is also
performed on request, which known as elective cesarean section, or cesarean section on maternal request.
Cesarean section is associated with increased risks for adverse obstetric and perinatal outcomes. Many factors may contribute in the unfavorable neonatal outcome during cesarean section.
With an ever-increasing number of cesarean section performed in whole world, the necessity of understanding the influence of operative time on neonatal morbidity is important, as operative time may be one of the factors contribute in the unfavorable neonatal outcome during cesarean section.
Our study was carried out to highlight the effect of operative time on the immediate neonatal outcome. The neonates were assessed and evaluated through Apgar score.
The study included 200 women with singleton pregnancy, full term, undergoing cesarean section, with no medical disorder (uncomplicated pregnancy), fetal distress or neonatal congenital anomalies.
Among the studied group, the duration from incision of the skin till clamping the cord was ranged between 3 and 22 minutes, and the duration from incision of the uterus till clamping of the cord was ranged between .5 to 4 minutes.
The neonates were assessed and evaluated through Apgar score. Apgar 5 min ranged between 4/10 – 10/10 with median of 8/10.
The present study showed no significant correlation between Apgar score of the neonates, either after 1 minute or 5 minutes, and the U-C interval.
It was noticed that 13 neonates developed Transient Tachypnea of Newborn (TTN) and transferred to NICU.
Further analysis of the results showed the correlation between TTN and the gestational age of the fetus (P-value = 0.005).
Gestational age ranged between 38 and 40 weeks, with mean of 38.740± 0.753 weeks.
It was observed in this study that TTN was developed in 7 males and 6 females and there is no statistically significant correlation between development of TTN and neonatal gender, with P-value of 0.507.
It was noticed that absence of significant correlation between TTN development and history of previous cesarean section, with p value (0.152).
And in the current study there is no significant relation between BMI and development of TTN with p value (0 .897).
It was noticed that absence of significant correlation between the S-C interval and the development of TTN with P value (0 .396).
Also, there is no statically significant correlation between development of TTN and U-C interval with P value (0.07).