title: Does performing cesarean section after onset of labor has positive effect on neonatal respiratory disorders?
abstract: OBJECTIVE
  The aim of this study is to evaluate whether neonatal respiratory disorders relate to the onset of labor or labor pain in patients with history of previous cesarean section.
  
  
  METHODS
  This prospective controlled study comprised 164 patients, grouped according to the presence of labor and related labor pain. All patients in both groups were applied cesarean section at 38 weeks gestational age or beyond due to previous cesarean section. The cord blood pH, Apgar scores and the need for the neonatal intensive care unit were compared.
  
  
  RESULTS
  There was a greater need for the neonatal intensive care unit in the control group and the cord blood pH values were higher in the study group (p < 0.05). No significant difference was determined between the groups in respect of Apgar scores (p > 0.05).
  
  
  CONCLUSIONS
  The onset of labor and related labor pain provide a positive contribution to a reduction in neonatal respiratory disorders. Therefore, it can be considered reasonable to perform a cesarean section after the onset of labor or related pain.
authors.affiliation: a Departments of Obstetrics and Gynecology , Zeynep Kamil Teaching and Research Hospital , Uskudar , İstanbul , Turkey .
authors.forename: Mehmet B
authors.initials: MB
authors.lastname: Senturk
authors.affiliation: b Department of Obstetrics and Gynecology , Batman State Hospital , Zıya Gokalp District , Batman , Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Cakmak
authors.affiliation: b Department of Obstetrics and Gynecology , Batman State Hospital , Zıya Gokalp District , Batman , Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gündoğdu
authors.affiliation: a Departments of Obstetrics and Gynecology , Zeynep Kamil Teaching and Research Hospital , Uskudar , İstanbul , Turkey .
authors.forename: Mesut
authors.initials: M
authors.lastname: Polat
authors.affiliation: b Department of Obstetrics and Gynecology , Batman State Hospital , Zıya Gokalp District , Batman , Turkey.
authors.forename: Halit
authors.initials: H
authors.lastname: Atac
mesh_terms: D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000503:physiopathology*; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D048949:Labor Pain; D007743:Labor, Obstetric / Q000502:physiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012140:Respiratory Tract Diseases / Q000503:physiopathology*; D013997:Time Factors
keywords: Apgar score; cesarean section; labor; labor pain; neonatal respiratory disorders