Carpenter Lee, Weston Phil
Department of Neonatal Intensive Care Unit, Waikato Hospital, Hamilton, New Zealand.
J Paediatr Child Health. 2012 May;48(5):419-23. doi: 10.1111/j.1440-1754.2011.02241.x. Epub 2011 Nov 16.
Differentiating features were sought for respiratory distress after water birth versus air birth in term low-risk babies. Clinical and X-ray features were to be assessed to determine if the disease processes could be differentiated.
Review of case records and X-rays over a 7-year period for all admitted babies with respiratory distress after water birth and a similar group of babies with respiratory distress after air birth.
There were 14 water birth babies and 24 air birth babies in the study. The water birth babies showed greater acidosis, greater requirement for ventilation, greater requirement for nitric oxide treatment and greater time to establish feeding. The X-rays could not be reliably allocated to the correct group, but the water birth X-rays were judged to have more severe changes than the air birth babies.
In low-risk babies with respiratory distress, water birth is associated with a greater level of respiratory morbidity than seen after air birth.
寻找足月儿低风险经水娩出与经气娩出后发生呼吸窘迫的鉴别特征。评估临床和X线特征，以确定疾病过程是否可被区分。
回顾7年期间所有因经水娩出后呼吸窘迫入院婴儿以及一组类似的经气娩出后呼吸窘迫婴儿的病例记录和X线片。
该研究中有14例经水娩出的婴儿和24例经气娩出的婴儿。经水娩出的婴儿酸中毒更严重，通气需求更大，一氧化氮治疗需求更大，建立喂养的时间更长。X线片无法可靠地归为正确的组，但经判断，经水娩出婴儿的X线片变化比经气娩出婴儿更严重。
在患有呼吸窘迫的低风险婴儿中，经水娩出比经气娩出后的呼吸发病率更高。
