Epidemiology of respiratory distress of newborns

Kumar, Alok; Bhat, B. Vishnu

doi:10.1007/bf02823875

Cited by 136 publications

(119 citation statements)

References 12 publications

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“…3 However in a study done by Kumar A, it was seen that the RDS was found to be the commonest (42.7%) cause of respiratory distress followed by TTNB (17.0%), MAS (10.7%), Sepsis (9.3%) and birth asphyxia (3.3%). 4 This variability in the present study was due to increase no of cesarean deliveries during the study period giving rise to more no of TTNB cases…”

Section: Etiology and Diagnosismentioning

confidence: 63%

Clinical study of respiratory distress in newborn

Chandrasekhar

Mohan

Boppana

2016

Int J Contemp Pediatr

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Section: Etiology and Diagnosismentioning

confidence: 63%

Clinical study of respiratory distress in newborn

Chandrasekhar

Mohan

Boppana

2016

Int J Contemp Pediatr

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“…This is lower than findings of Bajad et al in India who reported 32% of all neonatal admissions; but higher than many other previous studies. [6][7][8][9] Abdelrahman et al in Sudan recorded neonatal respiratory distress (NRD) frequency rate of 4.83% among newborn delivered in the hospital but 56.5% among newborn admitted to NICU, Fedakar et al also reported 7% of neonatal admissions in Turkey, Kumar et al in India found overall incidence of 6.7%. [7][8][9] There is therefore, variation in the incidence of respiratory distress at different centres.…”

Section: Discussionmentioning

confidence: 99%

Determinants of outcome in newborns with respiratory distress in Osogbo, Nigeria

et al. 2017

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INTRODUCTIONRespiratory distress is one of the commonest presentations necessitating hospital admission of newborns.1 About 15% of term infants and 29% of late preterm infants admitted to the neonatal intensive care unit develop have significant respiratory symptoms; this is even higher for infants born before 34 weeks' gestation.2,3 The clinical presentations of respiratory distress in the newborn include difficulty with breathing (nasal flaring, recessions or retractions in the intercostal, subcostal, or supracostal spaces, grunting, head nodding); too fast breathing (tachypnoea -respiratory rate more than 60 breaths per minute); too slow or shallow breathing (bradypnoea -respiratory rate less than 30 per minute, apnea); noisy breathing (stertor, expiratory ABSTRACT Background: Respiratory distress is one of the commonest presentations necessitating hospital admission in newborn unit. Regardless of the cause, if not recognized and managed quickly, respiratory distress can escalate to apnoea, respiratory failure, cardiopulmonary arrest and death. Methods: A cross-sectional and descriptive study of newborns with respiratory distress admitted into the SCBU of LAUTECH Teaching Hospital, Osogbo, Nigeria. Respiratory distress was diagnosed by grunting, inspiratory stridor, nasal flaring and tachypnea (more than 60 breaths per minute), retractions in the intercostal, subcostal, or supracostal spaces and cyanosis. At admission, every neonate had a complete physical examination. Results: Of 625 babies admitted, 384 (61.4%) were males while 241 (38.6%) were females and 164 (26.2%) had respiratory distress. Respiratory distress was commoner among the preterms than term newborns.  2 = 44.7, p = 0.001. Leading causes of respiratory distress among the preterms were hyaline membrane disease, septicaemia, while among the term babies were perinatal asphyxia, transient tachypnoea of newborn and meconium aspiration. Sixty (36.6%) of the 164 babies with respiratory distress died. While 40.2% of the preterms died mainly from causes like hyaline membrane disease and septicaemia, 31.3% of term babies died from causes like perinatal asphyxia and meconium aspiration. Mortality from hyaline membrane disease was 46.9%, while perinatal asphyxia and meconium aspiration accounted for 38.9% and 40.0% respectively. Conclusions: Respiratory distress is therefore, a very common neonatal problem and it causes death of more than third of those affected. Emphasis should be geared towards reduction of preterm delivery, control of asphyxia and neonatal sepsis in order to reduce neonatal mortality in our environment.

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“…RDS, in addition to being a direct reason of mortality, also contributes indirectly by increasing the risk of intraventricular hemorrhage, broncho pulmonary dysplasia and nosocomial infections such as ventilator-associated pneumonia (Kumar and Bhat, 1996). A Comparative study to find out clinical responses to natural and synthetic surfactants had concluded that there are no statistical clinical differences between both surfactants in mortality (Pfister et al, 2007).…”

Section: Introductionmentioning

confidence: 99%