Neonatal respiratory distress may occur in either term or preterm newborns with a higher relative risk in preterm, and whether born vaginally or through caesarean section, but in a higher percentage after elective caesarean section whose rate is rising. Prostaglandins may be given about one hour before an elective caesarean section after excluding the presence of contraindication to their use to decrease the neonatal respiratory diseases and thus, the number of children who suffered from bronchopulmonary dysplasia that occurs frequently in children who had previously TTN will diminish.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
170
Misoprostol is given before elective cesarean section as prophylaxis against post partum hemorrhage
placebos tablet will be given before elective Cesarean sections
Faculty of Medicine, Ain Shams University
Cairo, Cairo Governorate, Egypt
RECRUITINGThe need for admission to neonatal intensive care unit (NICU)
Number of newborns admitted to NICU for respiratory morbidity
Time frame: first 24 hours after delivery
APGAR score below 6 at 5 minute
number of newborns delivered with APGAR score below 6 at 5 minutes
Time frame: 5 minutes after delivery
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