Airene Ais P. Cerna

Adventist Medical Center Bacolod,
Philippines

Abstract Title:The Incidence Of Respiratory Distress Among Neonates When Grouped According To Early-Term, Full-Term, And Late-Term Delivered Via Elective Cesarean Section In A Tertiary Private Hospital From January 2020 To December 2022: A Retrospective Cohort Study

Biography: Dr. Airene Ais P. Cerna has completed her Doctor of Medicine Degree from the University of St. La Salle Bacolod, Philippines. She finished her residency training at Adventist Medical Center Bacolod after being the Chief Resident on her senior year. She has won first place in the Philippine Pediatric Society Negros Occidental Chapter annual research contest. She passed both the written and oral specialty board examination for Pediatrics and is now a diplomate of the Philippine Pediatric Society.

Research Interest: (Primary Investigator: Airene Ais P. Cerna, MD. Department of Pediatrics. Adventist Medical Center-Bacolod, Negros Occidental, Philippines. Supervising Investigator: Ma. Socorro Fatima P. Calitis, MD, FPPS, DPSNbM. Department of Pediatrics. Adventist Medical Center-Bacolod) BACKGROUND: Respiratory distress affects up to 7% of all term newborns and its most common attributed cause is delivery through cesarean section. OBJECTIVES: To determine the incidence of respiratory distress among term neonates delivered via caesarian section when grouped according to early-term, full-term and late-term. DESIGN: Retrospective cohort study. SETTING: Private tertiary hospital. PATIENTS/PARTICIPANTS: Thee hundred three eligible term neonates who were delivered via elective cesarean section. MAIN OUTCOME: The incidence of respiratory distress among term neonates delivered via elective cesarean section when grouped according to early-term, full-term, and late-term. RESULTS: Out of 303 neonates, 39 had respiratory distress (12.9%). Respiratory distress had an almost equal incidence among both sexes and is seen higher in those with birth weights of less than 3000 grams, born to mothers more than 32 years old at delivery, multiparous and multigravida mothers. Of the 39 neonates (64.1%) were early-term, 35.9% were full-term, 0% were late-term. There was no significant association between the variables and respiratory distress. CONCLUSIONS: There is a higher incidence of respiratory distress in those with birth weights of less than 3000 grams, mothers more than 32 years old, multigravid and multiparous mothers. There is also a higher incidence of respiratory distress among early-term neonates delivered via elective CS. KEYWORDS: elective cesarean section, newborn respiratory distress, newborn respiratory morbidity, term births and respiratory distress