Respiratory distress syndrome after elective caesarean section in near term infants: a 5-year cohort study.

Details

Serval ID
serval:BIB_362580E76233
Type
Article: article from journal or magazin.
Collection
Publications
Title
Respiratory distress syndrome after elective caesarean section in near term infants: a 5-year cohort study.
Journal
Journal of Maternal-fetal and Neonatal Medicine
Author(s)
Berthelot-Ricou A., Lacroze V., Courbiere B., Guidicelli B., Gamerre M., Simeoni U.
ISSN
1476-4954 (Electronic)
ISSN-L
1476-4954
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
26
Number
2
Pages
176-182
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
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. Hundred and eighty-eight near term infants, divided in two groups: group A: 125 late preterm (34(0/7)-36(6/7)) and group B: 63 just term (37(0/7)-37(6/7)), from elective CS (except CS after pre-mature 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 (GA) increased: for RDS, 50.9% at 34 weeks of gestation (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 (SRDS).
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.
Keywords
Adaptation, Physiological, Adrenal Cortex Hormones/administration & dosage, Adult, Betamethasone/administration & dosage, Cesarean Section/adverse effects, Delivery Rooms/statistics & numerical data, Elective Surgical Procedures/adverse effects, Female, hic" UI="D005602">France/epidemiology, Gestational Age, Humans, Incidence, Infant, Newborn, Male, Pregnancy, Respiratory Distress Syndrome, Newborn/epidemiology, Respiratory Distress Syndrome, Newborn/etiology, Retrospective Studies, Risk Factors, Young Adult
Pubmed
Create date
21/02/2015 14:52
Last modification date
20/08/2019 13:23
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