title: [Prevention of gastroesophageal reflux and aspiration in neonates by holding with hands immediately after delivery by cesarean section].
abstract: OBJECTIVE
  To evaluate the clinical effect of preventing gastroesophageal reflux (GER) and aspiration in neonates delivered by elective cesarean section with hand immediately after birth.
  
  
  METHODS
  On the basis of the principles for drowning resuscitation and evaluation of the principal factors causing GER and aspiration, the author adopted immediate manual management to promote emptying of gastroesophageal and airway contents in 496 newborns delivered by elective cesarean section.
  
  
  RESULTS
  No GER and aspiration occurred in the babies receiving the management, and no complication was recorded.
  
  
  CONCLUSIONS
  As an early preventive measure, manual management is effective in clearing gastroesophageal and airway contents against GER and aspiration, and Apgar scoring can be readily conducted.
authors.affiliation: Department of Gynecology and Obstetrics, 157 Hospital of PLA, Guangzhou 510510, China.
authors.forename: Hui-Ping
authors.initials: HP
authors.lastname: Guo
authors.forename: Hui
authors.initials: H
authors.lastname: Li
authors.forename: Jing
authors.initials: J
authors.lastname: Guo
authors.forename: Yan-Wen
authors.initials: YW
authors.lastname: Li
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D001239:Inhalation / Q000502:physiology*