Epidemiology of respiratory distress of newborns
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The present prospective study was conducted to find out the incidence, etiology and outcome of respiratory distress (RD) in newborns. All newborns (n=4505), delivered at this hospital over a period of 13 months, were observed for respiratory problems. Relevant antenatal, intranatal and neonatal information was noted. Cases were investigated for the cause of respiratory distress and followed up for the outcome. The overall incidence of RD was 6.7% Preterm babies had the highest incidence (30.0%) followed by post-term (20.9%) and term babies (4.2%). Transient tachypnea of newborn (TTN) was found to be the commonest (42.7%) cause of RD followed by infection (17.0%), meconium aspiration syndrome (10.7%), hyaline membrane disease (9.3%) and birth asphyxia (3.3%). TTN was found to be common among both term and preterm babies. While Hyaline membrane disease (HMD) was seen mostly among preterms, and Meconium aspiration syndrome (MAS) among term and post-term babies. Overall case fatality ration for RD was found to be 19%, being highest for HMD (57.1%), followed by MAS (21.8%) and infection (15.6%). Our results indicate that RD is a common neonatal problem. TTN accounts for a large proportion of thhese cases. MAS and infection also contribute significantly and are largely preventable. Without adequate ventilatory support HMD and MAS carry high mortality.
- Hjalmarson O. Epidemiology of neonatal disorders of respiration.Int J Technol Assess Health care 1991; 7 (1): 9–15.
- Neilsen TF, Hokegard KH. The incidence of acute neonatal respiratory disorder in relation to mode of delivery.Acta Obstet Gynecol scand 1984; 63: 109–114. CrossRef
- Thomas S, Verma IC, Singh M, Menon PSN. Spectrum of respiratory distress syndroome in the newborns in North India. A prospective study.Indian J Peadiatr 1981; 48: 61–65. CrossRef
- Singhal PK, Mathur GP, Mathur S, Singh YD. Neonatal morbidity and mortality in ICDS urban slums.Indian peditr 1990; 27: 485–488.
- Malhotra AK, Nagpal R, Gupta RK, Chhajta DS, Arora RK. Respiratory distress in newborn: Treated with ventilation in a level-11 nursery.Indian pediatr 1995; 32: 207–211.
- Driscoll SG, Smith CA: Neonatal pulmonary disorders.Pediatr Clin North Amer 1962; 9: 325–352.
- Singh M, Sud N, Arya LS, Hingorani V. Impact of special care services on perinatal and neonatal outcome.Indian pediatr 1978; 15: 225–230.
- Hjalmarson O. Epidemiology and classification of acute neonatal respiratory disorders. A prospective study.Acta Pediatr Scand 1981; 70: 773–783. CrossRef
- Field DJ, Milner AD, Hopkin IE, Madeley RJ. Changing pattern in neonatal respiratory diseases.Pediatr pulmonol 1987; 3: 231–235. CrossRef
- Krantz ME, Wennergren M, Bengtson LGW, Hjalmarson O, Karesson K, Sellgren U. Epidemiological analysis of the increased risk of disturbed neonatal respiratory adaptation after caesarean section.Acta Paediatr Scand 1986; 75: 832–839. CrossRef
- Khatua SP, Gangwal A, Basu P, Roy Palodhi PK. The incidence and etiology of respiratory distress in newborn.Indian pediatr 1979; 16: 1121–1126.
- Brice JEH, Walker CHM. Changing pattern of respiratory distress in newborn.Lancet 1977; 2: 752–754.
- Caughtrey H, Jeffery HE, Smart HDJ, Storey B, Poulos. V. Possible causes linking asphyxia, thick meconium and respiratory distress.Aust NZJ obstet Gynaecol 1991; 31 (2): 97–102. CrossRef
- Vidyasagar D, Yeh TF, Harris V. Pildes RS. Assisted ventilation in infants with meconium aspiration syndrome.Pediatrics 1975; 56 208–211.
- Hjalmarson O, Krantz ME, Jacobson B, Sorensen SE. The importance of neonatal asphyxia and caesarean section as risk factors for neonatal respiratory disorders in an unselected population.Acta Paediatr Secand 1982; 71: 403–408. CrossRef
- Chalmers I, Dauncey ME, Varrier Jones ER, Dodge JA, Gray OP. Respiratory distress syndrome in infants of Cardiff residents during 1965–75.Br Med J 1978; 2: 1119–1121.
- Epidemiology of respiratory distress of newborns
The Indian Journal of Pediatrics
Volume 63, Issue 1 , pp 93-98
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