Early Neonatal Respiratory Distress: Changes in Level IIb Hospital Over a Period of One Year
Condition: Neonatal Respiratory Distress Syndrome
MeSH terms: Respiratory Distress Syndrome; Respiratory Distress Syndrome, Newborn; Hyaline Membrane Disease
Study type: Observational

Summary: 
      Respiratory distress is one of the first hospital grounds during the neonatal period. The
      clinical presentation and severity vary by gestational age and cause. She reports to various
      etiological factors as maternal, neonatal or sometimes entangled. The symptomatic management
      has benefited from organizational progress (perinatal care) and techniques, including
      antenatal steroids, the use of exogenous surfactant and non-invasive ventilation early, so
      that the use of intubation is less frequent. The short-term evolution of patients with early
      respiratory distress is based on gestational age, cause and initial management.
    

Detailed description: 
      Main objective:

      To describe the care and short-term respiratory become newborns 32 weeks gestation or older
      with early and persistent respiratory distress to 2 hours of life (H2) over a period of one
      year in a type IIb motherhood.

      Methodology :

      Design: retrospective, descriptive, single-center, non-interventional

      Performed in the Saint Joseph neonatal unit. Study duration: 1 year (01/05/2013-04/30/2014).

      Acquisition of data:

      The patients were selected from the hospitalization reports of infants by taking the
      following key words: respiratory distress, invasive and noninvasive ventilation, intubation,
      exogenous surfactant, pneumothorax.

      Data collected:

        -  Obstetric data:

             -  Mode of delivery: route of delivery, presentation at birth.

             -  Maternal morbidity.

             -  antenatal corticosteroids in infants less than 34 weeks.

        -  Neonatal data:

             -  Gestational Age

             -  Birth Weight

             -  cord pH

             -  Apgar M5

        -  The terms of the allocation:

             -  Tracheal Intubation

             -  ventilation modes (controlled mechanical ventilation (VMC), non-invasive
                ventilation (NIV), nasal cannula), the maximum reached FiO2 (fraction of inspired
                oxygen), ventilation time for each ventilation mode. These different methods were
                studied in the delivery room during hospitalization (in intensive care and neonatal
                intensive care "NICU").

        -  The place of hospitalization: resuscitation and / or NICU.

        -  The transfer to the NICU resuscitation if necessary.

        -  Received drugs (exogenous surfactant, antibiotics, caffeine)

        -  The successful primary diagnosis.
    

Intervention name(s): No intervention. It's a description study
Intervention type(s): Other
Observational model: Ecologic or Community
Time perspective: Retrospective
Sampling method: Non-Probability Sample
Study population: 
        infants 32 weeks gestation or older with early and persistent respiratory distress to 2
        hours of life (H2) over a period of one year, to a type IIb motherhood.