title: [Asphyxia of the newborn delivered by elective cesarean section and gastroesophageal reflex and aspiration].
abstract: OBJECTIVE
  To analyse the causes, clinical manifestation, management and prevention of gastroesophageal reflex and aspiration (GER-A) in the infants delivered by cesarean section.
  
  
  METHODS
  The clinical data of 6 infants with asphyxia resulted from GER-A, delivered by elective cesarean section were retrospectively analysed.
  
  
  RESULTS
  GER-A occurred during the period from 5 to 12 minute after birth, and its main clinical manifestation was airway obstruction. Among the patients, four cases recovered completely after treatment, one was diagnosed as having aspiration pneumonia and the other died of severe bronchospasm.
  
  
  CONCLUSIONS
  The occurrence of this complication was probably related to the mode of delivery by cesarean section, the underdevelopment of effective barrier for preventing GER-A at very early stage and the inadequate management of the newborn. It is suggested that the prevention and proper treatment of GER-A was important in lowering neonatal morbidity and mortality.
authors.affiliation: 3rd Clinical Institute, China Medical University, Shenyang.
authors.forename: H
authors.initials: H
authors.lastname: Zhao
authors.forename: Z
authors.initials: Z
authors.lastname: Zhang
authors.forename: D
authors.initials: D
authors.lastname: Wang
mesh_terms: D001238:Asphyxia Neonatorum / Q000209:etiology*; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012189:Retrospective Studies