- ISSN: 1999-7086
- E-ISSN: 1999-7094
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oa Predisposing factors and incidence of pneumothorax in the neonatal care unit at Al-Ramadi Teaching Hospital for Maternity and Children
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2022, Issue 6 The Anbar 2nd International Medical Conference (AIMCO 2022), ديسمبر ٢٠٢٢,
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- ١٠ سبتمبر ٢٠٢٢
- ١٥ نوفمبر ٢٠٢٢
- ٠٦ ديسمبر ٢٠٢٢
ملخص
Background: Pneumothorax in neonates is a hazardous condition with a high incidence of complications and death. It is more frequent than at any other time of life and requires rapid management in the first three days of the neonatal period. Objectives: This study aims to identify the predisposing factors and incidence of pneumothorax in the neonatal care unit at Al-Ramadi Teaching Hospital for Maternity and Children. Materials and Methods: A retrospective cohort study was conducted in the neonatal care unit from 1st January to 31st December 2020. It included 6198 neonates admitted to the inborn and out-born neonatal care unit and collected from the archives files. Any newborn who developed pneumothorax was recorded as an outcome. Data regarding the age, gender, body mass index, antenatal care, antenatal steroids, gestational age, mode and place of delivery, and Apgar score for each case were registered. Results: In this study, pneumothorax was identified in 47 of the recruited newborns, giving an incidence of 0.8%. It occurred spontaneously in 25 (53.2%) of them. The proportion of pneumothorax was significantly higher among males, birth weight < 2500 g, delivered with gestational age < 32 weeks, 5 minutes Apgar Score < 7, those who needed active resuscitation, neonates whose mothers delivered through Cesarean section, delivered at home, did not receive antenatal care during the last pregnancy and did not receive antenatal steroids. Conclusion: The incidence of pneumothorax in newborns was 0.8%. The most important associated factors that may increase the incidence of neonatal pneumothorax were male gender, low birth weight, prematurity, low Apgar score at birth, Cesarean section mode of delivery, home deliveries, and lack of antenatal steroid injections.
