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BMC Pregnancy Childbirth. 2006 Feb 16;6:4.

Severe respiratory distress in term infants born electively at high altitude.

Author information

  • 1Department of Pediatrics, University of Alexandria, Alexandria, Egypt. afb1963@hotmail.com

Abstract

BACKGROUND:

We studied the contribution of elective delivery to severe respiratory distress syndrome (RDS) in term babies born at high altitude.

METHODS:

We prospectively studied the charts of term babies born in Taif Maternity Hospital (1640 m above sea level) between 1/1/2004 and 31/10/2004 who developed RDS and required mechanical ventilation.

RESULTS:

8634 deliveries occurred from 37-<41 weeks; 13 (0.15%) had RDS requiring mechanical ventilation. Seven infants delivered at 37-<38 weeks, (OR for RDS = 26 95%CI -4.6 to 5.8), five delivered at 38-<39 weeks, (OR for RDS = 10 95%CI -4.9 to 5.4) and one delivered at >39 weeks. Six of 13 infants were electively delivered without documented lung maturity.

CONCLUSION:

Infants born at 37 and 38 weeks' gestation remain at significantly increased risk for severe RDS. Elective delivery is responsible for 50% of the potentially avoidable cases. Our data suggest that the altitude does not seem to influence the incidence of severe RDS in term infants born electively.

PMID:
16483378
[PubMed]
PMCID:
PMC1397867
Free PMC Article
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