title: Impact of Prophylactic Continuous Positive Airway Pressure on Transient Tachypnea of the Newborn and Neonatal Intensive Care Admission in Newborns Delivered by Elective Cesarean Section.
abstract: OBJECTIVE
  This study aims to evaluate the effect of the prophylactic continuous positive airway pressure (CPAP) administration in the delivery room to newborns who were delivered by elective cesarean section (CS).
  
  
  METHODS
  Inborn infants with gestational age between 34(0/7) to 38(6/7) and born by elective CS were prospectively randomized to receive either prophylactic CPAP for 20 minutes via face mask or standardized care without CPAP in the delivery room. Primary outcomes were the incidence of transient tachypnea of the newborn (TTN) and neonatal intensive care unit (NICU) admission due to respiratory distress.
  
  
  RESULTS
  A total of 259 infants with a mean gestational age of 37.7 ± 0.8 weeks and birth weight of 3,244 ± 477 g were included. A total of 134 infants received prophylactic CPAP and 125 received control standard care. The rate of NICU admission was significantly lower in prophylactic CPAP group (p = 0.045). Although the rate of TTN was lower in the prophylactic CPAP group, the difference was not statistically significant (p = 0.059). The rate of NICU admission due to respiratory distress was significantly higher in late-preterm cohort than early-term cohort (p < 0.0001).
  
  
  CONCLUSIONS
  Prophylactic CPAP administration decreases the rate of NICU admission without any side effect in late-preterm and early-term infants delivered by elective CS.
authors: Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Miray Yilmaz
authors: MY
authors: Celebi
authors: Neonatal Intensive Care Unit, Hitit University Corum Training and Research Hospital, Corum, Turkey.
authors: Serdar
authors: S
authors: Alan
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Dilek
authors: D
authors: Kahvecioglu
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Ufuk
authors: U
authors: Cakir
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Duran
authors: D
authors: Yildiz
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Omer
authors: O
authors: Erdeve
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Saadet
authors: S
authors: Arsan
authors: Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
authors: Begum
authors: B
authors: Atasay
mesh_terms: D002585:Cesarean Section; D045422:Continuous Positive Airway Pressure; D003696:Delivery Rooms / Q000458:organization & administration; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000592:standards*; D016015:Logistic Models; D008297:Male; D011247:Pregnancy; D011446:Prospective Studies; D059245:Transient Tachypnea of the Newborn / Q000628:therapy*; D014421:Turkey