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Congenital Pneumonia and Maternal Cancer as Key Predictors of Surfactant Need in Late Preterm Infants

29 Jul 2025 • Among 1,335 late preterm (LPT) births, 7.8% developed respiratory distress syndrome (RDS) and 3.4% required surfactant therapy.

Key Findings:

  • Key predictors for surfactant use included lower gestational age (OR 0.541), low 1‑minute Apgar scores (OR 0.631), and congenital pneumonia—a powerful risk factor (OR 28.9).
  • Maternal oncological disease also raised the risk over fourfold (OR 4.1).

These findings highlight the need for close monitoring of LPT infants, especially those with congenital pneumonia or a maternal cancer history, to anticipate severe RDS beyond conventional risk markers.

Source: Wiley Online Library | Read Full Story

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