Abstract:
Objective: To determine the frequency of predictors which are related to poor treatment outcomes in term newborns presenting with transient tachypnea during the first 24 hours of birth in the Emergency Department of Tertiary Care Hospital.
Background: Maternal history of diabetes or Asthma, cesarean delivery, low birth weight, male gender, and a poor APGAR score have all been associated with a poor prognosis for TTN treatment.
Study Design: Cross sectional study Place and Duration of Study: Neonatal Intensive Care Unit at Emergency Department of Tertiary care Hospital Karachi from January to December 2021.
Methodology: A total of 163 newborns with transient tachypnea of newborns of 37-41 weeks were included. After enrolment, the relevant information about demographic data and the predictors of poor outcomes of TTN were recorded.
Results: Mean maternal age was 27.14 ± 3.29. Mean gestational age was 37.54 ± 1.09 weeks. Out of the 163 neonates, 112 (68.71%) were male and 51 (31.29%) were females. The mean weight of neonate was 2.93 ± 0.42 kg. Poor outcome was seen in 54 (33.13%) neonates. The frequency of predictors was found to be male gender in 112 (68.71%), low birth weight i-e <2.5Kg in 19 (11.66%), maternal history of asthma in 04 (2.45%), infant of diabetic mother in 33 (20.25%), Nulliparity in 50 (30.67%), Cesarean delivery in 114 (69.94%) and low APGAR score in 14 (8.59%) neonates.
Conclusion: This study has shown that the poor outcome 33.13% neonates with male gender, cesarean delivery, and nulliparity are the most common predictors which are related to poor treatment outcome in term newborns presenting with tachypnea within 24 hours of life.
Keywords: Transient tachypnea of newborn, Male gender, Cesarean delivery, Outcome.
