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CLINICAL FEATURES OF CONSTIPATION DEVELOPMENT IN NEWBORNS
DELIVERED BY CESAREAN SECTION
Khadzhaev Tokhir Avazkhanovich
Central Asian Medical University, Fergana, Uzbekistan
Abstract:
This study examined the frequency, causes, and clinical features of constipation
development in newborns delivered by cesarean section. Compared to naturally delivered
infants, newborns born via cesarean section showed impaired intestinal motility and
microbiota formation, which contributed to the development of constipation. The results
demonstrated a correlation between the method of delivery and gastrointestinal disorders
during the neonatal period.
Keywords:
cesarean section, constipation, neonatal period, microbiota, newborn, childbirth
Introduction
In recent years, there has been a worldwide increase in the number of deliveries performed
via cesarean section. This trend contributes to the rise in physiological disorders during the
neonatal period, particularly concerning intestinal function. During vaginal delivery, a
child’s passage through the birth canal ensures initial colonization with maternal microbiota.
In cesarean-delivered newborns, this process is disrupted, slowing the formation of normal
microbiota and negatively affecting intestinal motility.
Research Objective
To study the frequency of constipation development, main causes, and clinical
manifestations in newborns delivered via cesarean section.
Materials and Methods
The study was conducted at the “Mother and Child” Genesis Clinic in Fergana from January
2023 to December 2024. A total of 65 healthy newborns were included, divided into two
groups:
-
Group
1:
33
newborns
delivered
naturally;
-
Group
2:
32
newborns
delivered
via
cesarean
section.
The participants were aged from 0 to 3 months. Newborns with congenital anomalies,
chronic intestinal diseases, or genetic syndromes were excluded. The study analyzed the
frequency of defecation, stool consistency, presence of pain during defecation, symptoms of
colic, and complaints reported by mothers. Statistical data processing was performed using
SPSS 26.0 with t-tests and chi-square tests (χ²-test).
Results
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The results showed that constipation occurred significantly more often in newborns
delivered via cesarean section — in 65% of cases, compared to only 28% in the vaginal
delivery group. These infants had firmer stools, frequent crying, abdominal bloating, and
discomfort during defecation. In contrast, naturally delivered newborns exhibited soft,
regular, and painless stools. The differences between the groups were statistically significant
(P<0.05).
Conclusion
Newborns delivered via cesarean section experience delayed formation of normal intestinal
microbiota and reduced intestinal motility, contributing to the development of constipation.
The study results highlight the necessity of performing cesarean sections strictly based on
medical indications. The mode of delivery plays an important role in preventing digestive
disorders during the neonatal period.
References
1. Neu J., Rushing J. Cesarean versus vaginal delivery: long-term infant outcomes and the
hygiene hypothesis. Clinics in Perinatology. 2011;38(2):321–331.
2. Arrieta M.-C., et al. The intestinal microbiome in early life: health and disease. Frontiers
in Immunology. 2014;5:427.
3. Dominguez-Bello M.G., et al. Delivery mode shapes the acquisition and structure of the
initial microbiota across multiple div habitats in newborns. PNAS. 2010;107(26):11971–
11975.
4. Shamshutdinova R.G., et al. Functional intestinal disorders in newborns. Russian
Bulletin of Perinatology and Pediatrics, 2020;65(2):58–62.
5. Mirsaidova Sh.M., et al. Digestive disorders in newborns depending on the delivery
method. Pediatrics, 2021;3:45–49.
