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Newborn Vitals in the First 10 min Do Not Differ With Mode of Delivery
Archana S Nimbalkar1, Minal Patel1, Krishna Mori2
1Department of Physiology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India, bhaikakauniv.edu.in.
International Journal of Pediatrics
|April 13, 2026
Summary
Neonatal physiological transition, including SpO2, heart rate, and temperature, showed no significant differences between vaginal births and Cesarean births within the first 10 minutes of life. This suggests similar initial adaptation regardless of delivery method.
Area of Science:
- Neonatal physiology
- Perinatal medicine
- Obstetrics
Background:
- Delivery method influences neonatal adaptation.
- Cesarean section rates are increasing globally.
- Understanding physiological differences post-birth is crucial.
Purpose of the Study:
- To compare the immediate physiological transition of neonates born vaginally versus by elective Cesarean section.
- To assess differences in SpO2, heart rate, and temperature in the first 10 minutes of life.
Main Methods:
- Prospective study of 221 neonates (≥35 weeks gestation).
- Continuous monitoring of SpO2, intermittent heart rate, and temperature.
- Comparison between vaginal delivery and Cesarean section groups.
Main Results:
- No significant differences in SpO2, heart rate, or temperature in the first 6 minutes.
- SpO2 was higher in vaginally born neonates up to 9 minutes.
- Skin-to-skin contact duration was significantly longer in vaginal deliveries.
Conclusions:
- Neonatal physiological parameters are similar in the immediate postnatal period regardless of delivery mode.
- Vaginal delivery is associated with longer skin-to-skin contact.
- Further research may explore long-term implications.
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