A Study of Respiratory Distress in Term Neonates in Early Neonatal Period
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
introduction: Respiratory distress is one of the most common cause of admission in Neonatal Intensive Care Unit and results from a variety of respiratory and non-respiratory etiologies. It accounts for significant morbidity and mortality in the newborn period. Aims and Objectives: To identify the etiology of respiratory distress in early neonatal period and its immediate outcome. Materials and Methods: All term neonates with respiratory distress in 1st week of life in a tertiary care hospital were consecutively recruited in the study for 1 year. Etiological profile was found and outcome was analyzed along with various neonatal, maternal, and labor factors leading to the distress. Results: Out of 2152 cases admitted 655 developed distress with an incidence of 30.4%. Transient tachypnea of newborn (242) was the most common cause of distress, followed by perinatal asphyxia (144) and meconium aspiration syndrome (MAS) (93). Incidence was more in male babies and in those delivered by cesarean section. The major cause of mortality was perinatal asphyxia (30) followed by MAS (17) and congenital heart disease (4), overall mortality was 9.01%. Conclusion: Knowledge about the etiological pattern of respiratory distress is essential in planning therapy to reduce morbidity and mortality due to distress. Timely recognition and management of high-risk pregnancies and appropriate decision about the time and mode of delivery is needed to reduce the incidence of respiratory distress.
Authors and Affiliations
D Sivakumaran, P Nirosha
Keywords
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