What question did this study set out to answer?

To determine the risk and severity of primary surfactant deficiency and respiratory distress in infants delivered at or after 37 weeks of gestation.

November 1, 1999Acta Paediatrica

Surfactant‐deficient respiratory distress after elective delivery at ‘term’

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Authors

JMJohn MadarUniversity Hospitals Plymouth NHS Trust SRSam RichmondSunderland Royal Hospital EHEdmund HeyUniversity of Wolverhampton

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Implication

Retrospective cohort study reveals increased severe respiratory distress in early-term elective deliveries, highlighting risks before thirty-nine weeks.

Key Points

To determine the risk and severity of primary surfactant deficiency and respiratory distress in infants delivered at or after 37 weeks of gestation.
Retrospective population-based study of 179,701 live births delivered at ≥34 weeks of gestation in the north of England between 1988 and 1992, with gestational age validated by early ultrasound.
Identification of infants requiring ventilatory support for respiratory distress typical of surfactant deficiency, excluding cases with aspiration or infection, alongside an extended neonatal mortality review from 1981 to 1995.
Among 149 infants requiring ventilatory support for surfactant deficiency, 36 were delivered at ≥37 weeks' gestation, and 31 of 35 born at 37–38 weeks did not enter spontaneous labor.
Infants born at 37–38 weeks were 120 times more likely to require ventilatory support for surfactant deficiency compared to those delivered at 39–41 weeks.
Seven infants at or near term required candidacy for extracorporeal membrane oxygenation (ECMO) and two died, with six additional similar deaths identified across extended surveillance (1981–1995).

Cite This Study

Madar et al. (1999) studied this question.

synapsesocial.com/papers/6a726d4a5671bbf00bc3128c https://doi.org/10.1111/j.1651-2227.1999.tb01025.x

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Implication

Retrospective cohort study reveals increased severe respiratory distress in early-term elective deliveries, highlighting risks before thirty-nine weeks.

Surfactant‐deficient respiratory distress after elective delivery at ‘term’

Discussion

Member takes

Implication

Key Points

Cite This Study

Surfactant‐deficient respiratory distress after elective delivery at ‘term’

Discussion

Member takes

Implication

Key Points

Cite This Study

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