ÖZNUR KARAER, NERMİN TANSUĞ, SEMRA ORUÇ, CAN POSTACI, FAİK KOYUNCU
Gynecology Obstetrics & Reproductive Medicine - 2004;10(2):95-97
OBJECTIVES: We aimed to detect prevalence of spontaneous pneumothorax (SP) and transient tachypnea of the newborn (TTN) in infants born in our clinic and its relation with the way of delivery and gestational age. STUDY DESIGN: We evaluated the feto-maternal outcome of singleton pregnancies (n=649) according to the medical records of Obstetrics and Pediatrics Clinics of Celal Bayar University Hospital during the years 2001-2003 retrospectively. RESULTS: Of 649-singleton pregnancies, 372 of them were delivered by Caesarean section (C/S) (57.3%) and 277 were by vaginal route (42.6%). Three infants were diagnosed to have SP and 7 TTN. TTN and SP (n=10) occurred in abdominal deliveries, they weren't observed in vaginal deliveries. Five pregnancies were preterm, while 5 were term. The respiratory morbidity prevalence of babies in abdominal deliveries was 2.68%. All respiratory problems occurred in elective C/S (total 3.73%, 1.1% pneumothorax and 2.6% TTN). CONCLUSIONS: In the absence of clear maternal or fetal indication for delivery, avoiding caesarean section before the onset of labor should be considered. Intubation, vigorous resuscitation, aspiration of meconium-stained amniotic fluid should be always remembered to play roles in spontaneous pneumothorax formation.
