Taquipnea transitoria del recién nacido asociada a cesárea con y sin labor de parto
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i2.1496Keywords:
Transient tachypnea of the newborn, Cesarean section, infant newborn, Labor obstetric, Apgar scoreAbstract
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 delivery
Subjects 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
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References
Allen V, O’Connell C, Baskett T. Maternal morbidity associated with cesarean delivery without labor compared with induction of labor at term. American College of Obstetricians and Gynecologists 2006; 108(2).
Bazán G, et al. El trabajo de parto previo a la cesárea protege contra la taquipnea transitoria del recién nacido. Archivos de Pediatría del Uruguay 2012; 83(1):13-20.
Ceriani Cernadas J, et al. Nacimiento por cesárea al término en embarazos de bajo riesgo: efectos sobre la morbilidad neonatal. Archivos Argentinos de Pediatría 2010; 108(1):17-23.
American College of Obstetricians and Gynaecologists. Cesarean delivery on maternal request Committee Opinion. 2013; 559(110):1501–4.
González G, Hernández J, Casanueva S. Estudio de asociación entre los factores de riesgo maternos y neonatales para el desarrollo de taquipnea transitoria del recién nacido. Acta Pediátrica de México 2011; 32:128-129.
González Garay A. Actualidades sobre la taquipnea transitoria del recién nacido. Actualizaciones de Pediatría México 2011; 32(2):128-129.
Grivell R, Dodd J. Short and long term outcomes after cesarean section. Expert Rev Obstet Gynecol 2011; 6(2):205–15.
Italy A, Giannubilo S, Int J. Cesarean delivery on maternal request in gynecology obstet. Journal Obstetrics Gynecologists Canadian 2004; 84:169–70.
Jonguitud A. Cesárea electiva: repercusión en la evolución respiratoria neonatal. Revista de Obstetricia México 2011; 79(4):206-213.
Villanueva L, Contreras A, Pichardo M, Rosales J. Perfil epidemiológico del parto prematuro. Ginecol Obstet Mex 2008; 542:8.
