Respiratory Morbidity in Late-Preterm Infants: Prevention Is Better Than Cure!

Introduction: The morbidity and mortality in late preterm neonates is higher than term neonates. The main reason is the relative physical and neurologic immaturity, though there is no significant difference in the weight or the size of the two groups. Objective: The study was conducted to compare the early neonatal morbidity and mortality (within first 7 days of life) in late preterm infants (34–36 6/7 weeks) with those in term neonates (37–41 6/7 weeks). Materials and Methods: This was a prospective study conducted from 01 January 2015 to 30 June 2015 in the department of Neonatology at a tertiary hospital. Results: Total 100 neonates were included in the study; fifty neonates in each group. Late preterm infants had significantly higher morbidity due to any cause, e.g. respiratory morbidity (p<0.05), jaundice (p<0.05), hypoglycemia (p<0.05), sepsis (p<0.05) and perinatal asphyxia (p<0.05). Early neonatal mortality in late preterm neonates was significantly higher than term neonates (p<0.05). Conclusion: Late preterm neonates are at high risk for morbidity and mortality as compared to term neonates. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 44-47

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109: The effect of exposure to antenatal corticosteroids on the rate of respiratory morbidity among late preterm infants

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2008.09.136 ◽

2008 ◽

Vol 199 (6) ◽

pp. S44 ◽

Cited By ~ 1

Author(s):

Karin Fuchs ◽

Karen Scott ◽

Phyllis Gyamfi ◽

Cynthia Gyamfi

Keyword(s):

Preterm Infants ◽

Late Preterm ◽

Respiratory Morbidity ◽

Antenatal Corticosteroids ◽

Late Preterm Infants

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Acute respiratory morbidity in late preterm infants

Italian Journal of Pediatrics ◽

10.1186/1824-7288-40-s2-a34 ◽

2014 ◽

Vol 40 (S2) ◽

Author(s):

Simonetta Picone ◽

Roberto Aufieri ◽

Piermichele Paolillo

Keyword(s):

Preterm Infants ◽

Late Preterm ◽

Respiratory Morbidity ◽

Late Preterm Infants

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184: Obstetric factors affecting respiratory morbidity among late preterm infants

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2008.09.211 ◽

2008 ◽

Vol 199 (6) ◽

pp. S63

Author(s):

Karin Fuchs ◽

Catherine Albright ◽

Karen Scott ◽

Phyllis Gyamfi ◽

Cynthia Gyamfi

Keyword(s):

Preterm Infants ◽

Late Preterm ◽

Respiratory Morbidity ◽

Factors Affecting ◽

Late Preterm Infants ◽

Obstetric Factors

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Respiratory morbidity and lung function in moderate and late preterm infants during the first six years of life

10.1183/13993003.congress-2021.pa2036 ◽

2021 ◽

Author(s):

Laura Camats Marsol ◽

Ines De Mir Messa ◽

Olaia Sardón Prado ◽

Paula Corcuera Elosegui ◽

Ignacio Iglesias Serrano ◽

...

Keyword(s):

Lung Function ◽

Preterm Infants ◽

Late Preterm ◽

Respiratory Morbidity ◽

Late Preterm Infants

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Cesarean Delivery and Respiratory Distress Syndrome in Late Preterm Infants

Caring: Indonesian Journal of Nursing Science ◽

10.32734/ijns.v2i2.4969 ◽

2020 ◽

Vol 2 (2) ◽

pp. 38-43

Author(s):

Eni Rahmawati ◽

Mekar Dwi Anggraeni ◽

Erni Setiyowati

Keyword(s):

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Cesarean Delivery ◽

Preterm Infants ◽

Distress Syndrome ◽

Late Preterm ◽

Respiratory Morbidity ◽

Bivariate Analysis ◽

Late Preterm Infants ◽

Increased Risk

Cesarean sections (C-sections) associated with an increased risk of atopic disorders in infants. Late preterm infants born by C-sections tend to have more breathing problems especially Respiratory distress syndrome (RDS). RDS is one of the most common causes of respiratory morbidity and mortality in late preterm infants. Respiratory Distress Syndrome is one of the main causes of respiratory failure and neonatal death in premature infants and is caused by a lack of pulmonary surfactant due to fetal lung immaturity. The objectives of this research are to analyze the relationship between cesarean delivery and respiratory distress syndrome in late preterm infants. This type of research uses a type of quantitative research. The study design is a retrospective cohort study with a study cross-sectional approach. The sample in this study were 155 late preterm infants. This research was conducted in January-April 2019 in the Prof. DR. Margono Soekarjo Purwokerto. The analysis used univariate and bivariate analysis using The Chi-square test. The results of this study showed there is a significant relationship between C-sections and respiratory distress syndrome from p-value of 0.013 (> 0.05). Based on the results of this study, nurses are expected to recognize that C-sections delivery one of the risk factors of RDS in late preterm infants.

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Early health issues in late pre-terms

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20190005 ◽

2019 ◽

Vol 6 (2) ◽

pp. 369

Author(s):

Monica Choudhary ◽

Kamna Jain

Keyword(s):

Preterm Infants ◽

Preterm Births ◽

Late Preterm ◽

Morbidity And Mortality ◽

Respiratory Morbidity ◽

Preterm Neonates ◽

Term Infants ◽

Term Neonates ◽

Late Preterm Infants ◽

Early Health

Background: Rates of preterm birth are increasing worldwide, mostly due to late preterm births (i.e. 34-36 6/7 weeks). The objective of the study is to calculate incidence of early morbidity and mortality in late preterm neonates (within first 7 days of life) compared with term neonates.Methods: It was a prospective cohort study. All live inborn late preterm infants (34 0/7 to 36 6/7 weeks) and term infants (37 0/7 to 41 6/7 weeks) who were born between November 2010 to October 2011. Study was done to find out early morbidity and mortality in late preterm births.Results: Present study included 256 late preterm infants and 498 term infants, amongst whom 95 (37.10%) late preterm and 98 (19.67%) term infants required NICU care (p<0.001). Late preterm infants were at significantly higher risk for overall morbidity due to any cause (P<0.001; Odds Ratio (OR):2.4; 95% CI: 1.7-3.3), respiratory morbidity (P<0.001; OR:3.64; 95% CI:1.7-7.4), neonatal depression (p<0.001; OR:2.94; 95% CI:1.00-8.62), any resuscitation/ventilation (P<0.05; OR: 3.1; 95% CI:1.15-8.31), probable sepsis (P<0.001; OR:11.2; 95% CI:2.5-49.8), confirmed sepsis (p=0.05; OR:7.7; 95% CI:0.9-63.9), or other problems like jaundice, hypoglycemia, hypothermia and feeding difficulty. The incidence of morbidity increased as gestational age decreases from 19.67% in term infants (>37 weeks) to 27.8%, 43%, 54.5% at 36, 35 and 34 weeks, respectively (P<0.001).Conclusions: The morbidity risk in late preterm births is 1.3 times more at 36 weeks, 2 times more at 35 weeks and 2.7 times more at 34 weeks as compared with term neonates. The mean cost of stay increased 1.8 times in the late preterm neonates as compared to the term neonates.

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