Respiratory distress in term newborns: Can we predict the outcome?

Gamhewage, Nimesha Chamidani; Jayakodi, Hemali Gayathri; Samarakoon, Janaki; Silva, Sajini De; Kumara, Lpc Saman

doi:10.4038/sljch.v49i1.8895

Cited by 3 publications

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“…Severe MAS was managed only with conventional ventilation and supportive care due to unavailability of HFOV. A similar result has been demonstrated in a local setting but an increased mortality rate (17 %) has been observed in an Indian study in 2017 8,15 .…”

Section: Discussionsupporting

confidence: 85%

“…Kumar A, et al 14 revealed an incidence of 4.2% and 20.9% among term and post-term neonates respectively. In a Sri Lankan study, the overall incidence has been reported as 8.2% 8 . However, the inclusion criteria were different from this study as our cohort only included term neonates with SMS greater than 3.…”

Section: Discussionmentioning

confidence: 99%

“…However, the inclusion criteria were different from this study as our cohort only included term neonates with SMS greater than 3. Aetiologies of RD among term neonates include a variety of respiratory and non-respiratory causes and in the Sri Lankan context, TTN was the commonest aetiology 8 . MAS and congenital pneumonia were the second and third common aetiologies 8 .…”

Section: Discussionmentioning

confidence: 99%

“…Aetiologies of RD among term neonates include a variety of respiratory and non-respiratory causes and in the Sri Lankan context, TTN was the commonest aetiology 8 . MAS and congenital pneumonia were the second and third common aetiologies 8 . In our cohort, the commonest aetiology was congenital pneumonia (39%) and the second common cause was TTN (20.9%).…”

Section: Discussionmentioning

confidence: 99%

“…A study in 65 hospitals in Italy, involving 17,192 live-born term babies revealed that the incidence of common respiratory aetiologies for RD was 70% for transient tachypnoea of newborn (TTN) and 11% each for respiratory distress syndrome (RDS) and meconium aspiration syndrome (MAS) 7 . In the local setting, Gamhewage NC, et al 8 found TTN, congenital pneumonia, and MAS as the common aetiologies. Other respiratory causes such as spontaneous pneumothorax, persistent pulmonary hypertension of newborn (PPHN), congenital structural lung malformations, anomalies of the upper airway, and a variety of nonrespiratory aetiologies should be considered as possibilities of RD [2][3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

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Incidence, aetiology and adverse outcomes associated with respiratory distress in term neonates admitted to a tertiary care centre

Amarasekara

Perera

Weerasekera

2022

Sri Lanka J Child Health

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Introduction: Respiratory distress (RD) is a leading cause of admission of all gestational ages to neonatal intensive care units. RD develops in 7% neonates and causes significant morbidity and mortality. The aetiology of RD could be respiratory and nonrespiratory and the presence of some risk factors may predict the development of RD. Newborns with RD are at 2-4 times higher risk of death.Objectives: To determine the incidence and aetiology of RD and to identify risk factors and adverse outcomes of RD in term neonates. Method:A descriptive cross-sectional study was conducted at Sri Jayewardenepura General Hospital for a period of eighteen-months, including 105 term newborns with RD, defined by the Silverman score of more than 3. Statistical analysis was done with the SPSS beta version. Results:The incidence of RD with Silverman score of more than 3 was 2.2%. Aetiologies of RD in decreasing order of frequency were congenital pneumonia, transient tachypnoea of the newborn (TTN), early-onset sepsis (EOS) without pneumonia, respiratory distress syndrome (RDS), meconium aspiration syndrome, persistent pulmonary hypertension of the newborn and critical congenital heart disease. There were significant associations between prolonged rupture of membranes (PROM), 3 or more vaginal examinations, congenital pneumonia and EOS. Caesarean delivery increased the risk of developing TTN and RDS. There were 4 neonatal deaths and 2 _________________________________________ 1

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidence, aetiology and adverse outcomes associated with respiratory distress in term neonates admitted to a tertiary care centre

Amarasekara

Perera

Weerasekera

2022

Sri Lanka J Child Health

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Global, Regional and National Trends in the Burden of Neonatal Respiratory Failure and essentials of its diagnosis and management from 1992 to 2022: a scoping review

Tochie,

Sibetcheu,

Arrey-Ebot

et al. 2023

Eur J Pediatr

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A retrospective cohort study on effects of antenatal steroids on respiratory morbidity for term elective caesarean sections in South Asian women

2022

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Background Respiratory distress (RD) is higher among newborns born by caesarean section (CS) compared to vaginal delivery. Royal College of Obstetricians and Gynaecologists recommend steroid administration for CS prior to 39 weeks. Effectiveness of steroids for neonatal RD at term is inconclusive. The racial differences are yet to be studied. Methods A single center retrospective cohort study was conducted in Colombo, Sri Lanka from December 2016 to February 2019. All mothers delivered by CS between 37+0 and 38+6 weeks were included. Mothers with severe maternal hypertension, fetal rhesus sensitization, intrauterine infection, multiple pregnancies and who received steroids at a prior gestation were excluded. Cohort was subdivided according to administration of intramuscular dexamethasone prior to CS. Primary outcomes measured were RD, admissions to neonatal intensive care unit (NICU) and special care baby unit (SCBU). Neonatal infections and maternal duration of hospital stay were recorded as secondary outcome measures. Results 560 patients were included. 23.2% of patients received antenatal corticosteroids. Incidence of RD, NICU admissions and SCBU admissions in the study cohort was 10%, 0.9%, and 2.7% respectively. Relative risk for developing RD in the steroid group compared to non-steroid group was 2.67 (95CI 1.64-4.35). 4.6% of the steroid group and 3.3% of the non-steroid group needed to be admitted to the NICU/SCBU (p=0.464). A significantly higher number of babies in the steroid group needed IV antibiotics. The average number of days the mothers were admitted to the hospital was 2.45 days (SD+/- 1.424) for steroid group and 1.4 days (SD+/- 0.856) for the non-steroid group (p < 0.001). Conclusions There is a significant increase in the respiratory morbidity in the dexamethasone administered south Asian mothers at term prior to CS. However, this effect has no clinical significance since the admissions to NICU and SCBU were not significantly different.

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Respiratory distress in term newborns: Can we predict the outcome?

Cited by 3 publications

References 0 publications

Incidence, aetiology and adverse outcomes associated with respiratory distress in term neonates admitted to a tertiary care centre

Incidence, aetiology and adverse outcomes associated with respiratory distress in term neonates admitted to a tertiary care centre

Global, Regional and National Trends in the Burden of Neonatal Respiratory Failure and essentials of its diagnosis and management from 1992 to 2022: a scoping review

A retrospective cohort study on effects of antenatal steroids on respiratory morbidity for term elective caesarean sections in South Asian women

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