Respiratory Distress Syndrome in Neonates Delivered at Term-Gestation by Elective Cesarean Section at Tertiary Care Hospital in Oman

Al Riyami , Nihal; Al Hadhrami , Abeer; Al Lawati , Tuqa; Pillai , Silja; Abdellatif , Mohamed; Jaju , Sanjay

doi:10.5001/omj.2020.51

Article Details

Respiratory Distress Syndrome in Neonates Delivered at Term-Gestation by Elective Cesarean Section at Tertiary Care Hospital in Oman

Authors:

Al Riyami , Nihal | Al Hadhrami , Abeer | Al Lawati , Tuqa | Pillai , Silja | Abdellatif , Mohamed | Jaju , Sanjay

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2020 Vol.35 Issue 3, pp.1-6

Document Type:

Article

Publication Date:

5/2020

Document Language:

English

Document ID (Org No.):

142273

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2020.51

Descriptors:

Keywords:

Abstract:

 Objectives: We sought to assess the relationship between respiratory distress syndrome(RDS) in neonates delivered by elective cesarean section at term gestation with andwithout corticosteroids cover. We also aimed to determine other neonatal complicationssuch as sepsis, hypoglycemia, and hyperbilirubinemia. Methods: We conducted aretrospective descriptive study from January 2010 to December 2015 on all Omaniwomen who delivered by elective cesarean section at Sultan Qaboos University Hospitalbetween 37+0 and 38+6 weeks gestation. Results: Among 650 patients included in thestudy, 20.8% (n = 135) received corticosteroids antenatally and 79.2% did not. RDS wasfound in 16 out of 650 neonates, making the prevalence of RDS 2.5%. Higher gravidityand parity and a mean gestational age of less than 37.6 weeks, were associated with asignificant risk of RDS. Administration of antenatal corticosteroids did not change therespiratory morbidity in the newborns (p = 0.340). A mean birth weight of 2.9 kg wasassociated with a significant risk of RDS (p = 0.043). All 16 newborns required neonatalintensive care unit admission and ventilator support. The most common ventilatorysupport used was continuous positive airway pressure (56.2%). The most commonsecondary complication in neonates diagnosed with RDS was transient tachypnea ofthe newborn (53.8%). Conclusions: The prevalence of RDS was low. Giving antenatalcorticosteroids for patients with planned elective cesarean at term did not seem to havea beneficial effect on neonatal respiratory morbidity. Further studies with larger samplesize including multiple centers is recommended.

Article Details

Respiratory Distress Syndrome in Neonates Delivered at Term-Gestation by Elective Cesarean Section at Tertiary Care Hospital in Oman

Authors:

Al Riyami , Nihal | Al Hadhrami , Abeer | Al Lawati , Tuqa | Pillai , Silja | Abdellatif , Mohamed | Jaju , Sanjay

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2020 Vol.35 Issue 3, pp.1-6

Document Type:

Article

Publication Date:

5/2020

Document Language:

English

Document ID (Org No.):

142273

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2020.51

Descriptors:

PREGNANCY

GESTATION PERIOD

CAESAREAN SECTION

HOSPITALS

INFANTS

PREGNANT WOMEN

OMAN

Infant

Newborn

Pregnancy

Cesarean Section

Respiratory Distress Syndrome

Newborn

Pregnancy Outcome

Oman

Issues

Article Details

Authors: Al Riyami , Nihal | Al Hadhrami , Abeer | Al Lawati , Tuqa | Pillai , Silja | Abdellatif , Mohamed | Jaju , Sanjay

Publisher: Oman Medical Specialty Board

Main Topics: Medicine

Journal: Oman Medical Journal 2020 Vol.35 Issue 3, pp.1-6

Document Type: Article

Publication Date: 5/2020

Document Language: English

Document ID (Org No.): 142273

Frequency: Bi-Monthly

eISSN: 20705204

pISSN: 1999768X

DOI: 10.5001/omj.2020.51

Descriptors:

Issues

Authors:

Al Riyami , Nihal | Al Hadhrami , Abeer | Al Lawati , Tuqa | Pillai , Silja | Abdellatif , Mohamed | Jaju , Sanjay

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2020 Vol.35 Issue 3, pp.1-6

Document Type:

Article

Publication Date:

5/2020

Document Language:

English

Document ID (Org No.):

142273

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2020.51