NEONATAL RESPIRATORY-DISTRESS FOLLOWING ELECTIVE DELIVERY - PREVENTABLE DISEASE
NEONATAL RESPIRATORY-DISTRESS FOLLOWING ELECTIVE DELIVERY - PREVENTABLE DISEASE
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DOI：
10.1016/0002-9378(76)90462-2
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发表时间：
1976-01-01
影响因子：
9.8
通讯作者：
MERKATZ, IR
中科院分区：
文献类型：
--
作者：
HACK, M;FANAROFF, AA;MERKATZ, IR
Twelve percent of all infants with respiratory distress admitted to the neonatal intensive-care unit from November, 1973-April, 1974, were born after elective intervention (15 cesarean sections and 4 vaginal inductions). All were white and 18/19 were private compared to yearly admissions of white (56%) and private (57%). Eighteen of 19 were admitted from the region via the transport service. Mean birth weight was 2.69 kg, with 18 infants over 2 kg. Pediatric gestational age from a physical and neurological evaluation ranged from 32-39 wk (mean 36.2 wk) in contrast to obstetric dating which ranged from 38-44 wk (mean 39 wk). The obstetric dating was 3 or more wk greater than the pediatric age in 11 infants. Pulmonary disease included transient tachypnea (5) and respiratory distress syndrome (14). No prior documentation of pulmonary maturity was obtained in any of these infants. Mean hospitalization was 23 days (range 1-140). Two infants died. Respiratory distress following elective delivery remains a potent source of on-going perinatal morbidity. Regional programs must direct increased educational efforts to eliminate this preventable disease.
