Chioukh F-Z, Skalli M-I, Laajili H, Ben Hmida H, Ben Ameur K, Bizid M, Monastiri K
Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, faculté de médecine de Monastir, CHU Fattouma Bourguiba, 5019 Monastir, Tunisie.
Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, faculté de médecine de Monastir, CHU Fattouma Bourguiba, 5019 Monastir, Tunisie.
Arch Pediatr. 2014 Feb;21(2):157-61. doi: 10.1016/j.arcped.2013.11.010. Epub 2013 Dec 27.
The rate of infants born at 34-36 weeks of gestation has increased over the last 20 years. These babies are at higher risk of morbidity, particularly respiratory, than full-term infants are. The purpose of this study was to describe the respiratory morbidity of late-preterm infants and identify risk factors.
This was a descriptive, single-center study including 273 late-preterm infants born in a tertiary care hospital between July 2009 and December 2010.
Of the mothers who delivered, 53.9% had morbidity. The cesarean-section delivery rate before labor was 20.9%; the main indication was fetal growth restriction (34%). Sixty-four percent of newborns had morbidity during their hospitalization and 23.1% suffered from respiratory distress. Mechanical ventilation was needed in 4.4% of the infants. Respiratory distress was mainly caused by early-onset sepsis or transient tachypnea. Ten infants presented with respiratory distress syndrome, of whom seven received a surfactant. Neonatal respiratory distress risk factors were gestational age, sex, and prelabor cesarean section (P<0.05).
Late-preterm infants have an increased risk of respiratory disorders requiring ventilation. Elective cesarean should be limited if possible during this period.
在过去20年中，孕34至36周出生的婴儿比例有所增加。这些婴儿比足月儿患发病率的风险更高，尤其是呼吸系统疾病。本研究的目的是描述晚期早产儿的呼吸系统发病率并确定风险因素。
这是一项描述性单中心研究，纳入了2009年7月至2010年12月期间在一家三级护理医院出生的273名晚期早产儿。
分娩的母亲中，53.9%患有疾病。分娩前剖宫产率为20.9%；主要指征是胎儿生长受限（34%）。64%的新生儿在住院期间患病，23.1%患有呼吸窘迫。4.4%的婴儿需要机械通气。呼吸窘迫主要由早发性败血症或短暂性呼吸急促引起。10名婴儿出现呼吸窘迫综合征，其中7名接受了表面活性物质治疗。新生儿呼吸窘迫的风险因素是胎龄、性别和分娩前剖宫产（P<0.05）。
晚期早产儿发生需要通气的呼吸系统疾病的风险增加。在此期间，应尽可能限制选择性剖宫产。
