Respiratory Morbidity in Late-Preterm Births: A Prospective Observational Study at a Tertiary Care Hospital

Nazia Shaikh, Shaweez Faizi, Lavanya Rai

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: To study the neonatal respiratory morbidity in late-preterm neonates. Materials and methods: This study was done over a period of 6 months (November 2014–April 2015) including 120 late-preterm births at a tertiary referral center. Results: Among the 120 late-preterm babies, 42 (35 %) developed respiratory morbidity. Respiratory distress syndrome (RDS) developed in 43 % of the babies who had not received steroid prophylaxis against 25.8 % receiving the same (p < 0.05). Among the indicated late-preterm deliveries, 45 % of babies developed respiratory morbidity in comparison with 22 % of the babies born following spontaneous onset of labor (p < 0.05). In the neonates with respiratory morbidity, male babies had a higher incidence than their female counterparts (48 vs. 24 % p < 0.05). Severity of RDS declined from 57 % for babies born at 34 weeks of gestation to 26.3 % for those born at 36 weeks (p 0.14). With each advancing week of gestation a significant reduction in the need for ventilator support (78 % at 34 weeks to 15 % at 36 weeks of gestation p < 0.05) was observed. Presence of antenatal risk factors did not significantly contribute to the respiratory morbidity. Conclusion: The severity of respiratory morbidity and need for ventilator support declines with advancing gestational age; hence, every attempt must be made to prolong pregnancy till 36 weeks of gestation.

Original languageEnglish
Pages (from-to)301-306
Number of pages6
JournalJournal of Obstetrics and Gynecology of India
Volume66
DOIs
Publication statusPublished - 01-10-2016

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Premature Birth
Tertiary Healthcare
Tertiary Care Centers
Observational Studies
Prospective Studies
Morbidity
Pregnancy
Mechanical Ventilators
Labor Onset
Gestational Age
Steroids
Incidence

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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abstract = "Objectives: To study the neonatal respiratory morbidity in late-preterm neonates. Materials and methods: This study was done over a period of 6 months (November 2014–April 2015) including 120 late-preterm births at a tertiary referral center. Results: Among the 120 late-preterm babies, 42 (35 {\%}) developed respiratory morbidity. Respiratory distress syndrome (RDS) developed in 43 {\%} of the babies who had not received steroid prophylaxis against 25.8 {\%} receiving the same (p < 0.05). Among the indicated late-preterm deliveries, 45 {\%} of babies developed respiratory morbidity in comparison with 22 {\%} of the babies born following spontaneous onset of labor (p < 0.05). In the neonates with respiratory morbidity, male babies had a higher incidence than their female counterparts (48 vs. 24 {\%} p < 0.05). Severity of RDS declined from 57 {\%} for babies born at 34 weeks of gestation to 26.3 {\%} for those born at 36 weeks (p 0.14). With each advancing week of gestation a significant reduction in the need for ventilator support (78 {\%} at 34 weeks to 15 {\%} at 36 weeks of gestation p < 0.05) was observed. Presence of antenatal risk factors did not significantly contribute to the respiratory morbidity. Conclusion: The severity of respiratory morbidity and need for ventilator support declines with advancing gestational age; hence, every attempt must be made to prolong pregnancy till 36 weeks of gestation.",
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Respiratory Morbidity in Late-Preterm Births : A Prospective Observational Study at a Tertiary Care Hospital. / Shaikh, Nazia; Faizi, Shaweez; Rai, Lavanya.

In: Journal of Obstetrics and Gynecology of India, Vol. 66, 01.10.2016, p. 301-306.

Research output: Contribution to journalArticle

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