Öndunaröðugleikar hjá nýburum sem fæðast með valkeisaraskurði

• Main Authors: Snorri Freyr Dónaldsson, Atli Dagbjartsson, Hörður Bergsteinsson, Hildur Harðardóttir, Ásgeir Haraldsson, Þórður Þórkelsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2007
• Subjects: Keisaraskurðir; Ungbörn; Fylgikvillar; Öndun; LBL12; Cesarean Section; Iceland/epidemiology; Gestational Age; Infant; Newborn; Pregnancy; Quality of Health Care; Respiratory Distress Syndrome; Surgical Procedures; Elective; Smella; Vikna; Iceland
• Online Access: http://hdl.handle.net/2336/14623

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: To evaluate the effects of gestational age at the timing of elective caesarean section (ECS) on the incidence of respiratory dysfunction in the newborn. STUDY GROUP AND METHODS: This was a retrospective study. All infants born by ECS at the Landspitali-University Hospital Iceland over a 10 years period (1996-2005) at >or=37 weeks gestation and diagnosed with transient tachypnoea of the newborn (TTN) or respiratory distress syndrome (RDS) were included in the study. RESULTS: Of the 1486 infants delivered by ECS over the study period 57 (3.8%) developed TTN (50 infants) or RDS (7 infants). The incidence of respiratory dysfunction was inversely related to gestational age, 13.8% at 37 weeks gestation and 2.5% at 40 weeks gestation. A statistically significant reduction in the incidence of TTN or RDS was observed from 38 weeks to 39 weeks gestation (6.6% and 2.3% respectively; p<0.001). There has been a reduction in the incidence of ECS before 39 weeks gestation since 2001, when guidelines regarding optimal timing of ECS were set at our hospital. CONCLUSION: The incidence of respiratory dysfunction in neonates born by ECS is inversely related to gestational age, even in the term infant. It is important to delay ECS until 39 weeks gestation whenever possible, in order to minimize the risk of respiratory dysfunction in the newborn infant. Tilgangur: Kanna tíðni öndunarörðugleika hjá fullburða börnum sem fæddust með valkeisaraskurði á kvennadeild Landspítala yfir 10 ára tímabil. Tilfelli og aðferðir: Upplýsingar voru fengnar úr mæðraskrám og sjúkraskrám barna sem fæddust með valkeisaraskurði á kvennadeild Landspítala árin 1996-2005 eftir >37 vikna meðgöngu og fengu öndunarörðugleika vegna votra lungna eða glærhimnusjúkdóms. Niðurstöður: Af þeim 1486 fullburða börnum sem fæddust með valkeisaraskurði á Landspítala á rannsóknartímabilinu fengu 57 (3,8%) vot lungu (50 börn) eða glærhimnusjúkdóm (7 börn). ...