Early Neonatal Respiratory Distress: Changes in Level IIb Hospital Over a Period of One Year

Main objective:

To describe the care and short-term respiratory become newborns 32 weeks gestation or older with early and persistent respiratory distress to 2 hours of life (H2) over a period of one year in a type IIb motherhood.

Methodology :

Design: retrospective, descriptive, single-center, non-interventional

Performed in the Saint Joseph neonatal unit. Study duration: 1 year (01/05/2013-04/30/2014).

Acquisition of data:

The patients were selected from the hospitalization reports of infants by taking the following key words: respiratory distress, invasive and noninvasive ventilation, intubation, exogenous surfactant, pneumothorax.

Data collected:

• Obstetric data:

• Mode of delivery: route of delivery, presentation at birth.
• Maternal morbidity.
• antenatal corticosteroids in infants less than 34 weeks.
• Neonatal data:

• Gestational Age
• Birth Weight
• cord pH
• Apgar M5
• The terms of the allocation:

• Tracheal Intubation
• ventilation modes (controlled mechanical ventilation (VMC), non-invasive ventilation (NIV), nasal cannula), the maximum reached FiO2 (fraction of inspired oxygen), ventilation time for each ventilation mode. These different methods were studied in the delivery room during hospitalization (in intensive care and neonatal intensive care "NICU").
• The place of hospitalization: resuscitation and / or NICU.
• The transfer to the NICU resuscitation if necessary.
• Received drugs (exogenous surfactant, antibiotics, caffeine)
• The successful primary diagnosis.

Inclusion criteria

• Gestational Age (A) ≥ 32 SA
• Birth weight (PN) ≥ 1000 g
• Respiratory distress appeared in the first 2 of life and non-limiting in H2.

Exclusion criteria

• AG <32 SA
• PN <1000g
• Malformation diagnosed ante or immediate postpartum justifying a specific urgent care.
• Respiratory distress appeared before H2 and H2-limited before, whatever the company therapeutic.
• Respiratory distress appeared after H2.