JaLCDOI 10.18926/AMO/31993
FullText URL fulltext.pdf
Author Coskun, Senol| Yuksel, Hasan| Bilgi, Yasar| Lacin, Selman| Tansug, Nermin| Onag, Ali|
Abstract <p>Postnatal adaptations of cardiac hemodynamics in infants born vaginally or by caesarean section may be different. These cardiac functions were evaluated by Doppler echocardiography to assess adaptation differences. Cardiac output, heart rate, stroke volume, mean arterial pressure, total systemic vascular resistance, ejection fraction, and ductus arteriosus diameter were determined and compared at 1, 24 and 72 h of life in 22 infants born vaginally (group 1) and 23 born by caesarean section (group 2). One hour after delivery, heart rate, mean blood pressure, and total systemic resistance were found to be higher in group 1 infants (P &#60; 0.01, P &#60; 0.05, P &#60; 0.05 respectively). Stroke-volume measurements were significantly higher in group 2 (P &#60; 0.05). The ejection fraction and cardiac output values were similar in both groups. At 24 and 72 h, no significant differences were observed in measurements of infants born vaginally or by caesarean section. We did not find a parameter negatively affecting healthy newborns in either mode of delivery. However, under pathological conditions affecting the cardiovascular system at 1 h of life, including perinatal infections and hypoxemia, a lower stroke volume, higher heart rate, higher mean blood pressure, and higher peripheral resistance may cause additional work load to the cardiovascular system in infants born vaginally.</p>
Keywords newborn Doppler echocardiography vaginal delivery caearean section
Amo Type Article
Published Date 2001-08
Publication Title Acta Medica Okayama
Volume volume55
Issue issue4
Publisher Okayama University Medical School
Start Page 213
End Page 218
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 11512563
Web of Science KeyUT 000170367200003