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Failure to test for Lung maturity faulted.
CHICAGO -- One-third of severe neonatal respiratory distress cases could be avoided if physicians tested for fetal lung maturity before performing elective deliveries, results of a large, retrospective study suggest.
"Many people consider 37 weeks a term pregnancy. However, it's not until 39 weeks that you can be assured of fetal lung maturity," commented Dr. Joseph Wax, a perinatologist who presented his findings in poster form at the annual meeting of the American College of Obstetricians and Gynecologists.
In a chart review of 35,031 babies born at the Hartford (Conn.) Hospital over a 10-year period, Dr. Wax identified 18 neonates with severe respiratory distress syndrome (RDS)--7 of whom were electively delivered.
Two babies were electively delivered at 37 weeks' gestation and five were delivered at 38 weeks' gestation. "Of those, one baby had a mature amniocentesis, although it did have immature lungs, so in our minds this was an unpreventable case of RDS. However, the RDS in the other six ...
Source: HighBeam Research, One-Third of Severe RDS Cases May Be Preventable.