Wet Lung
Conditions
Keywords
Fetal lung fluid, Pulmonary adaptation, Transient tachypnea of the newborn, Epinephrine, Stress hormones
Brief summary
In this prospective, cross-sectional study, the aim was to investigate the possible role of cord stress hormones; adrenocorticotropic hormone (ACTH), cortisol, epinephrine, sT3, sT4, and thyroid-stimulating hormone (TSH) in the development of Transient Tachypnea of the Newborn (TTN), via their modulatory effect on epithelial sodium channels and Na-K-ATPase.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Gestation age \> 34 weeks * C/S delivered infants * Parental consent form signed
Exclusion criteria
* Gestation age \< 34 weeks * Maternal conditions that compromised fetal well-being (hypertensive disorder, diabetes, chorioamnionitis) * Intrauterine growth retardation * Congenital malformations * Absence of parental consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stress response at birth, as demonstrated by cord cortisol, adrenocorticotropic hormone, epinephrine, fT3, fT4, and thyroid-stimulating hormone in late preterm and term neonates developing transient tachypnea of the newborn. | postnatal first 24 hours | At birth cord blood samples and perinatal data were collected from ceseraen deliveries of late preterm and term infants. Cord stress hormones of the infants with the diagnosis of TTN and gestational age matched controls were analyzed. |