Your browser doesn't support javascript.
loading
A speculated cause of respiratory inhibition in infants.
Minowa, Hideki; Arai, Ikuyo; Yasuhara, Hajime; Ebisu, Reiko; Ohgitani, Ayako.
Afiliação
  • Minowa H; a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan.
  • Arai I; a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan.
  • Yasuhara H; a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan.
  • Ebisu R; a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan.
  • Ohgitani A; a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan.
J Matern Fetal Neonatal Med ; 31(19): 2534-2537, 2018 Oct.
Article em En | MEDLINE | ID: mdl-28648104
ABSTRACT

OBJECTIVE:

In our previous studies, we documented that threatened premature labor and asymmetrical intrauterine growth restriction were risk factors for respiratory inhibition. The goal of this study was to determine the cause of respiratory inhibition by considering perinatal risk factors.

METHODS:

We examined 1497 infants with a gestational age of 36 weeks or greater. All infants were monitored using pulse oximetry and examined via cranial sonography. Respiratory inhibition was defined as severe hypoxemia caused by respiratory inhibition immediately after crying or gastroesophageal reflux or as a respiratory pause during feeding. We examined the relationships between respiratory inhibition and perinatal factors and speculated on the cause of respiratory inhibition.

RESULTS:

The median gestational age, birth weight, Apgar score at 1 min, and Apgar score at 5 min of the subjects were 38.9 weeks, 2930 g, 8.0 points, and 9.0 points, respectively. Respiratory inhibition was observed in 422 infants. Lateral ventricle enlargement and increased echogenicity in the ganglionic eminence were observed in 417 and 516 infants, respectively. Respiratory inhibition was significantly correlated with shorter gestational periods, twin pregnancies, lateral ventricle enlargement, and increased echogenicity in the ganglionic eminence.

CONCLUSIONS:

We speculate that umbilical cord compression is a major cause of respiratory inhibition.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipóxia Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: Asia Idioma: En Revista: J Matern Fetal Neonatal Med Assunto da revista: OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Japão

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipóxia Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: Asia Idioma: En Revista: J Matern Fetal Neonatal Med Assunto da revista: OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Japão