Reducing Respiratory Distress After Elective Caesarean Birth Through Knee-chest-flexion: a Randomized Controlled Trial
Planned caesarean birth is a risk factor for the development of neonatal respiratory distress commonly known as transient tachypnoea of the newborn. This is due to the absence of labor physiology which facilitates the clearance of fetal lung fluid. We hypothesized that by mimicking flexion induced by uterine contractions by manually performing knee-to-chest flexion directly at birth to achieve expulsion of excess lung liquid, we could reduce the incidence of respiratory distress in term children born by planned CS.

The goal of this clinical trial is to test whether performing a knee-to-chest flexion maneuver directly after elective caesarean section will decrease the incidence of respiratory distress in term infants when compared to the standard care
- EligibilityCriteria: Inclusion Criteria:  Infants born by planned CS, 37-42 weeks gestational age  Exclusion Criteria:  infants with significant congenital malformations influencing cardiopulmonary transition infants whose mother has gestational diabetes, pre-eclampsia, eclampsia infants where immediate cord clamping is needed due to resuscitation of the baby or mother when spontaneous contractions before the cesarean section is done. KCF will not be done to infants who will start breathing instantly after being extracted from the uterus so as not to interfere with their breathing efforts - HealthyVolunteers: No - Gender: All - MaximumAge: 30 Minutes - StdAgeList: Child