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Delayed lung liquid absorption after cesarean section at term.
- Source :
-
Neonatology [Neonatology] 2013; Vol. 104 (2), pp. 133-6. Date of Electronic Publication: 2013 Jul 24. - Publication Year :
- 2013
-
Abstract
- Background: Delayed postnatal removal of lung liquid may result in respiratory distress, which is more common in infants born by cesarean section. Vertical artefacts (B-lines) arising from the lung surface in lung ultrasound have been shown to correlate with the liquid content of the lungs.<br />Objectives: We studied whether lung ultrasound could be used for the assessment of postnatal lung liquid in healthy term infants born vaginally and by cesarean section.<br />Methods: Lung ultrasound was performed 1, 3 and 24 h after birth to 22 vaginally born infants and 20 infants born by elective cesarean section. The abundance of B-lines was scored for each infant and time point by two independent observers blinded to the mode of delivery and time point on the examination on a five-step scale.<br />Results: In both groups, a significant decrease in abundance of B-lines, indicative of lung liquid absorption, was observed during the first 24 h. 3 h after birth cesarean section was associated with significantly higher lung liquid content than vaginal delivery.<br />Conclusion: The noninvasive bedside ultrasound method for estimation of lung liquid is a promising tool for the early identification of infants at risk for pulmonary maladaptation.<br /> (Copyright © 2013 S. Karger AG, Basel.)
- Subjects :
- Absorption
Biological Transport
Female
Gestational Age
Humans
Linear Models
Male
Observer Variation
Point-of-Care Systems
Predictive Value of Tests
Pregnancy
Reproducibility of Results
Time Factors
Ultrasonography
Video Recording
Body Fluids metabolism
Cesarean Section
Lung diagnostic imaging
Lung metabolism
Term Birth
Subjects
Details
- Language :
- English
- ISSN :
- 1661-7819
- Volume :
- 104
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Neonatology
- Publication Type :
- Academic Journal
- Accession number :
- 23887625
- Full Text :
- https://doi.org/10.1159/000351290