Respiratory Distress in Full and Post Term Neonates: Prevalence, Etiologies and Outcomes in a Tertiary Health Center in Yaoundé

Introduction: Respiratory pathologies are top listed amongst neonatal morbidities. Our objective was to describe the clinical features, causes and treatment of respiratory distress (RD) in full post term neonates a tertiary health center Yaoundé, Essos Hospital Centre (EHC). Patients Method: This retrospective study. Full/post with RD from January 2017-December 2018 were included. Main parameters: incidence RD, etiologies, risk factors for severity mortality. Results: We included 186 among 2312 newborn babies. The prevalence rate 8%. Sex ratio 2.15 favoring male, median gestational age 38 weeks. Clinical signs dominated by Silverman score above 4/10 64%. etiologies pneumonia (44%), followed transient tachypnea (35.4). Perinatal asphyxia (OR = 9.412, P 0.005) cyanosis 6.509; 0.001) worsening while caesarian section protective 0.412; 0.050). Mortality (MR) 10.4%. Therapeutic measures briefly consisted oxygen therapy 98.9% patients probabilistic antibiotic therapy. Conclusion: Neonatal preeminent etiology this population; MR high.