Neonatal outcomes of elective caesarean section at term without prophylactic use of antenatal corticosteroids


  • Shazia Masheer Department of Obstetrics and Gynaecology, Aga Khan University, Karachi, Pakistan
  • Arzina Aziz Ali Department of Medicine, Indiana University Hospital Center, Indianapolis, Indiana, USA
  • Uswa Jiwani Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan
  • Sakina Gheewala Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
  • Jehanzaeb Jang Department of Medicine, Medstar Washington Hospital Center, Washington DC, USA
  • Fariha Shaheen Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
  • Arjumand Rizvi Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
  • Pareesa Memon Medical College, Dr. Ziauddin University, Karachi, Pakistan
  • Shabina Ariff Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan



Antenatal care, Corticosteroids, Caesarean Section, Infant, New-born, Infant


Background: We aimed to describe the outcomes of neonates born at or near term to women undergoing elective C-section without prophylactic corticosteroids.

Methods: Single-centre retrospective observational study of neonates born between 36+0 and 42+0 weeks. Associations between neonatal complications and maternal and neonatal factors were evaluated by univariate analyses and multivariate logistic regression.

Results: A total of 2151 (26%) neonates were born by elective C-section during the study period, of whom 429 were included in the study. Fifty-six (13.05%) neonates developed some complication with 39 (9.1%) requiring NICU admission. Respiratory distress syndrome (RDS) and hypoglycemia occurred in 21 (4.9%) and 7 (1.6%) neonates, respectively. Maternal age >35 was associated with higher odds of neonatal complications (OR: 5.52, 95% CI: 1.02-29.74, p=0.047).

Conclusions: The rate of RDS was comparable to other reported studies. The study revealed a high rate of term elective C-sections, providing grounds for conducting further research on administering antenatal corticosteroid to this population to reduce new-born morbidities.



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How to Cite

Masheer, S., Aziz Ali, A., Jiwani, U., Gheewala, S., Jang, J., Shaheen, F., Rizvi, A., Memon, P., & Ariff, S. (2023). Neonatal outcomes of elective caesarean section at term without prophylactic use of antenatal corticosteroids . International Journal Of Community Medicine And Public Health, 10(6), 2047–2053.



Original Research Articles