Clinical analysis of respiratory distress syndrome of infants at term and near term delivered by elective cesarean section
10.3760/cma.j.issn.2095-428X.2014.06.009
- VernacularTitle:择期剖宫分娩(近)足月儿呼吸窘迫综合征临床分析
- Author:
Huiyi HUO
;
Xiaohe YU
;
Xiaocheng ZHOU
;
Mingjie WANG
;
Zhengchang LIAO
;
Ningyi ZHU
;
Shaojie YUE
- Publication Type:Journal Article
- Keywords:
Term and preterm infant;
Respiratory distress syndrome;
Elective caesarean section;
Asphyxia
- From:
Chinese Journal of Applied Clinical Pediatrics
2014;29(6):428-430
- CountryChina
- Language:Chinese
-
Abstract:
Objective To access the incidence,clinical characteristics and the factors affecting therapy of respiratory distress syndrome (RDS) in the infants at term and near term delivered by elective cesarean section.Methods A retrospective cohort study among consecutively admitted infants with RDS at the Neonatal Intensive Care Unit of the Department of Neonatology,Xiangya Hospital,Central South University from Jan.2004 to Dec.2011 were conducted.The inborn infants at 36-42 weeks gestation with RDS,whom were delivered by Elective Cesarean Section from January 1 st,2004 to December 31st,2011 were enrolled.These cases with the timing of elective caesarean section,gestational age,intrauterine infection,asphyxia at birth,which affecting the occurrence of RDS were compared.Results Fifty one infants were entered into the study,which were all met standard of Elective Cesarean Section.Among these infants,33 cases (64.7％,33/51 cases) were delivered by cesarean section without any reason.In these 51 cases,the constituent ratio of elective caesarean section in gestational age ＞ 39 weeks was lower than in gestational age ＞ 36-＜39 weeks,and the difference was significant (31.4％ vs 68.6％,x2 =0.560,P ＜0.01).Asphyxia at birth was the main risk factors of term and near term with RDS (OR =7.306,95％CI:0.018-51.101,P =0.041).Compared to the infants whom born without asphyxia,the infants born with asphyxia usually came out to RDS right after born (x2 =0.080,P ＜ 0.01),required longer time of mechanical ventilation and had significant lower effective ratio (x2 =0.071,8.843,all P ＜ 0.01).Conclusions Asphyxia is the first manifestations of term and near term infants with RDS.These infants often can be onset after birth.
