Objective: The aim of this
study is to show that respiratory problems such as respiratory distressed
syndrome and transient tachypnea of newborn can be reduced by antenatal
betamethasone administration.
Method: The study
was conducted on 50 mothers and their babies aged between 21 and 38 years in
the Obstetrics and Gynecology Clinic of Haydarpaşa Numune Training and Research
Hospital between January 2007 and March 2008. Betamethasone was
administered to 25 patients who were planned for cesarean section at term due
to elective reasons (Group I). The Group II consisted of 25 patients planned
for elective caesarean section at term and no betamethasone was administered.
Groups were compared according to maternal age, maternal smoking, maternal
chronic disease history, gestation day, cesarean section type of anesthesia,
birth weight and sex of the baby. Postnatal infants were evaluated according to Apgar
scores of 1 and 5 minutes, ventilation with mask, intubation, resuscitation or
intensive care needs. RDS and TNT were recorded.
Results: In the
non-corticosteroid-treated group (group 2), two babies developed TNT of the
newborn. However, no statistically significant difference was found between the
groups (p> 0.05). Respiratory distress syndrome did not develop in any of
our patients. The abortion rate in Group I (20%) was significantly higher than
the abortion rate in Group II (0%) (p <0.05). No other parameters (Age, gravida, parity, number of
curettage, number of living children, smoking,presence of chronic disease,
anesthesia type) were statistically significant (p>0.05).
Conclusions: The use of antenatal corticosteroid in elective
caesarean sections over 37 weeks may cause a decrease in the development of
respiratory problems such as RDS and YGT.
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Surgical Science Research Articles |
Authors | |
Publication Date | December 31, 2019 |
Acceptance Date | December 31, 2019 |
Published in Issue | Year 2019 |