[Hyaline membrane disease in full-term neonates].
OBJECTIVE
Evaluation of the consequences of preplanned delivery near term on the neonatal respiratory distress syndrome and its mechanism of occurrence.


METHODS
During five years, full-term infants (> or =37 weeks gestational age) admitted in the Institut de Puericulture de Paris, with a well characterized hyaline membrane disease, were included in a retrospective study.


RESULTS
During this period, 97 full-term neonates with respiratory distress syndrome were hospitalized in the neonatal intensive care unit. The diagnosis of hyaline membrane disease was made in view of clinical and radiological criteria. The study of mode of delivery has shown a high frequency of pre-planned delivery: 54% caesarean and 24% vaginal delivery. A high-risk of occurrence of hyaline membrane disease was identified around 37 weeks gestational age in the case of preplanned delivery.


CONCLUSIONS
Preplanned delivery near 37 weeks gestational age may increase the risk of occurrence of hyaline membrane disease in full-term neonates.
Ayachi
A
A
SMUR pédiatrique,CHI André-Grégoire, 56 boulevard de la Boissière, 93105 Montreuil cedex, France. Azzedine.ayachi@avc.ap-hop-paris.fr
Rigourd
V
V
Kieffer
F
F
Dommergues
M A
MA
Voyer
M
M
Magny
J F
JF
D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006819:Hyaline Membrane Disease / Q000209:etiology* / Q000473:pathology; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D010347:Patient Care Planning; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012307:Risk Factors