Spectrum of respiratory distress in very low birthweight neonates
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The incidence, etiology and the outcome of respiratory distress in 243 consecutive livebom very low birth weight neonates (VLBW) were analysed. One hundred and forty six (60%) VLBW neonates developed respiratory distress. Hyaline membrane disease, congenital pneumonia and transient tachypnea of the newborn were the major underlying causes (35.6%, 28.1%, and 27.4% respectively). The mortality rate was significantly higher in neonates with respiratory distress (72 of 146,49.3%) than in those without distress (28 of 97,28.8%) (p <0.05). This differerce was more sharply reflected in the 1000-1249 birth weight group and in the 29–32 weeks gestation group. Respiratory distress is a significant determinant of VLBW mortality.
Key wordsVery low birthweight Respiratory distress Neonatal mortality
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