[Selected indices in perinatal evaluation of the newborn with respiratory disturbances. I. Usefulness in differential diagnosis].

There are several maternal and fetal factors, which may influence the development of respiratory disturbances in the newborn. Certain, indices of perinatal evaluation (delivery route, gestational age, birth weight, maturity degree, sex and Apgar score) in two groups of patients were compared. The first group compressed 36 newborns with Hyaline Membrane Disease (HMD), the second called aspiration--pneumonia (AP) group-44 newborns with other kinds of respiratory disturbances: 18 with pneumonia, 12 with fetal liquid aspiration syndrome, 8 with meconium aspiration syndromes and 6 with transient tachypnea. The diagnosis of each kind of respiratory disorder was based on the criteria of Hjalmarson. In both groups high percentage of newborn babies born by cesarean section (higher in AP group) was found. Hence the conclusion that the decision to perform this procedure should consider the risk of neonatal pulmonary complications. In the HMD group lower gestational age was found and in the AP group more babies were born with intrauterine dystrophy. In both groups prevalence of the male sex and low Apgar score was found.