Effect of elective cesarean section and vaginal delivery on the neonatal prognosis

Objective To study the effects of elective cesarean section and vaginal delivery on neonatal prognosis. Methods 204 cases of newborn were selected, they were divided into two groups, the elective cesarean section group or vaginal delivery group according to the mode of delivery, neonatal Apgar score of two groups, NBNA score and the immune index. Results The elective cesarean section group in 1 min, 5 min Apgar scores were(9.92±0.25),(9.93±0.34), vaginal delivery group(9.83±0.43),(9.94±0.27), 1 min, 5 min and Apgar among two groups was no significant difference(P0.05). Basic elective cesarean section group neonatal NBNA score points, bonus, head, head erect, the number of time stepping reflex steps and vaginal delivery groups there was no significant difference(P0.05). In gender in newborns, elective cesarean section group neonatal C-reactive protein, IgA was significantly higher than that in vaginal delivery group, IgG, IgM was significantly lower than that in vaginal delivery group, there was significant difference between groups(P 0.05). Elective cesarean section group of male neonatal IgG level was significantly higher than that in female, while IgM, IgA was significantly lower than that of the female(P 0.05). Conclusion In conclusion, there is no significant difference in elective cesarean section and vaginal delivery in two kinds of mode of delivery on neonatal Apgar score and NBNA score, but selective cesarean section can reduce immune function of neonates, increased chance of illness.