Severe respiratory distress in term infants born electively at high altitude

<p>Abstract</p> <p>Background</p> <p>We studied the contribution of elective delivery to severe respiratory distress syndrome (RDS) in term babies born at high altitude.</p> <p>Methods</p> <p>We prospectively studied the charts of term babies bor...

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Main Authors: Bakr Ahmad F, Abbas Mohammad M
Format: Article
Language:English
Published: BMC 2006-02-01
Series:BMC Pregnancy and Childbirth
Online Access:http://www.biomedcentral.com/1471-2393/6/4
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author Bakr Ahmad F
Abbas Mohammad M
author_facet Bakr Ahmad F
Abbas Mohammad M
author_sort Bakr Ahmad F
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>We studied the contribution of elective delivery to severe respiratory distress syndrome (RDS) in term babies born at high altitude.</p> <p>Methods</p> <p>We prospectively studied the charts of term babies born in Taif Maternity Hospital (1640 m above sea level) between 1/1/2004 and 31/10/2004 who developed RDS and required mechanical ventilation.</p> <p>Results</p> <p>8634 deliveries occurred from 37–<41 weeks; 13 (0.15%) had RDS requiring mechanical ventilation. Seven infants delivered at 37–<38 weeks, (OR for RDS = 26 95%CI -4.6 to 5.8), five delivered at 38–<39 weeks, (OR for RDS = 10 95%CI -4.9 to 5.4) and one delivered at >39 weeks. Six of 13 infants were electively delivered without documented lung maturity.</p> <p>Conclusion</p> <p>Infants born at 37 and 38 weeks' gestation remain at significantly increased risk for severe RDS. Elective delivery is responsible for 50% of the potentially avoidable cases. Our data suggest that the altitude does not seem to influence the incidence of severe RDS in term infants born electively.</p>
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spelling doaj.art-ed486d90437143bfa180e1eeebdfa7372022-12-22T03:18:36ZengBMCBMC Pregnancy and Childbirth1471-23932006-02-0161410.1186/1471-2393-6-4Severe respiratory distress in term infants born electively at high altitudeBakr Ahmad FAbbas Mohammad M<p>Abstract</p> <p>Background</p> <p>We studied the contribution of elective delivery to severe respiratory distress syndrome (RDS) in term babies born at high altitude.</p> <p>Methods</p> <p>We prospectively studied the charts of term babies born in Taif Maternity Hospital (1640 m above sea level) between 1/1/2004 and 31/10/2004 who developed RDS and required mechanical ventilation.</p> <p>Results</p> <p>8634 deliveries occurred from 37–<41 weeks; 13 (0.15%) had RDS requiring mechanical ventilation. Seven infants delivered at 37–<38 weeks, (OR for RDS = 26 95%CI -4.6 to 5.8), five delivered at 38–<39 weeks, (OR for RDS = 10 95%CI -4.9 to 5.4) and one delivered at >39 weeks. Six of 13 infants were electively delivered without documented lung maturity.</p> <p>Conclusion</p> <p>Infants born at 37 and 38 weeks' gestation remain at significantly increased risk for severe RDS. Elective delivery is responsible for 50% of the potentially avoidable cases. Our data suggest that the altitude does not seem to influence the incidence of severe RDS in term infants born electively.</p>http://www.biomedcentral.com/1471-2393/6/4
spellingShingle Bakr Ahmad F
Abbas Mohammad M
Severe respiratory distress in term infants born electively at high altitude
BMC Pregnancy and Childbirth
title Severe respiratory distress in term infants born electively at high altitude
title_full Severe respiratory distress in term infants born electively at high altitude
title_fullStr Severe respiratory distress in term infants born electively at high altitude
title_full_unstemmed Severe respiratory distress in term infants born electively at high altitude
title_short Severe respiratory distress in term infants born electively at high altitude
title_sort severe respiratory distress in term infants born electively at high altitude
url http://www.biomedcentral.com/1471-2393/6/4
work_keys_str_mv AT bakrahmadf severerespiratorydistressinterminfantsbornelectivelyathighaltitude
AT abbasmohammadm severerespiratorydistressinterminfantsbornelectivelyathighaltitude