Document Detail

Respiratory distress syndrome after elective caesarean section in near term infants: a five year cohort study.
MedLine Citation:
PMID:  23013109     Owner:  NLM     Status:  Publisher    
Abstract Objective: to assess the incidence of respiratory distress syndrome (RDS) in late preterm (34(0/7)-36(6/7)) and just term (37(0/7)-37(6/7)) infants born via elective caesarean section (CS) in a tertiary care maternity facility. Methods: retrospective cohort study between 2005 and 2009. 188 near term infants, divided in 2 groups: groupe A: 125 late preterm (340/7to 366/7) and group B: 63 just term (370/7to 376/7), from elective CS (except CS after premature rupture of membranes and foetuses presenting congenital malformation), were included. Results: In group A the overall incidence of RDS (RDS at or shortly after birth, requiring respiratory support or oxygen therapy) was 44% (n=55) vs 15.9% (n=10) in group B (p<0.01). The incidence of SRDS (requiring admission in the neonatal intensive care unit (NICU)) in group A was 13.6% (n=17) and 3.2% (n=2) group B (p<0.01). The risk decreased significantly as gestational age increased: for RDS, 50.9% at 34 WG, 52.5% at 35 WG, 21.5% at 36 WG, and 15.9% at 37 WG; for admission, 30.2% at 34 WG, 25% at 35 WG, 9.4% at 36 WG, and 6.3% at 37 WG. Among late preterm infants with RDS, 30.9% (n=17) developed Severe RDS. Conclusions: Late preterm infants born via elective CS are at high risk for RDS and NICU admission. The risk is influenced by each additional week spent in utero. As the incidence of CS is increasing within this population, new preventative strategies must be sought.
Anais Berthelot-Ricou; Valérie Lacroze; Blandine Courbiere; Beatrice Guidicelli; Marc Gamerre; Umberto Simeoni
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Faculté de Médecine, Université de la Méditerranée-Assistance Publique Hôpitaux de Marseille, Pôle de Gynécologie-Obstétrique et Reproduction, Marseille, France.
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