Taquipnea transitoria del recién nacido asociada a cesárea con y sin labor de parto

Context: transient tachypnea of the newborn (TTRN) is a frequent entity in neonates born by caesarean section,Objective: identify potentially modifiable risk factors that contribute to the reduction of neonatal respiratory pathology derived from a cesarean deliverySubjects and methods: We present a...

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Detalles Bibliográficos
Autor Principal: Vallejo, Freddy (author)
Outros autores: Bazante, Pamela (author), Estévez, Rodrigo (author)
Formato: article
Idioma:spa
Publicado: 2017
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Acceso en liña:https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1496
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Summary:Context: transient tachypnea of the newborn (TTRN) is a frequent entity in neonates born by caesarean section,Objective: identify potentially modifiable risk factors that contribute to the reduction of neonatal respiratory pathology derived from a cesarean deliverySubjects and methods: We present a retrospective observational study of an analytical cohort that identified clinical records of newborns by caesarean section, attended at Quito Police Hospital No. 1 in the period January 2001 to December 2015; The study included neonates between 35 and 41 weeks of gestation, who were classified into 2 groups: with and without labor prior to cesarean section.Results: the frequency of newborns with transient tachypnea that was determined in the present study was 25.6%, 29.4% and 44.8% in the respective gestational age groups determining a proportion is 5.1: 1; 1.9: 1 and 0.5: 1 for each group, so that the relationship between a preterm mild versus a term BN is 10 times higher for the group that develops TTRN. There is a greater frequency of TTRN in neonates of caesarean sections without previous labor compared with the group of neonates born by caesarean section with previous labor; this difference is statistically significant with an OR of 5.8.Conclusion: labor prior to caesarean section constitutes a protective factor for transient tachypnea of the newborn in neonates between 35 and 38 weeks. Labor prior to cesarean section is not a protective factor against the risk of developing transient tachypnea of the newborn in infants of 39 or more weeks of gestation