Articles Vol. 67 No. 6 25/06/2026

AETIOLOGIES AND TREATMENT OUTCOMES OF PRETERM NEONATAL RESPIRATORY DISTRESS AT THE THAI BINH PEDIATRIC HOSPITAL IN 2024-2025

Luu Thi Hoa1,2, Truong Thi Phuong Mai1,2, Doan Thi Ngoc Hoa1,2, Pham Thu Thu Huyen3,4
1 Thai Binh University of Medicine and Pharmacy
2 Trường Đại học Y Dược Thái Bình
3 Thai Binh Hospital
4 Bệnh viện Nhi Thái Bình
DOI: 10.52163/yhc.v67i6.5494
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Keywords
respiratory distress, preterm neonate, etiology.
Abstract

neonates at Thai Binh Children’s Hospital from 2024 to 2025.

Methods: This retrospective cross-sectional study included 155 preterm neonates (<37 weeks of gestation) diagnosed with respiratory distress and admitted for inpatient treatment between January 1, 2024 and December 31, 2025.

Results: Most patients were male (64.52%). The mean gestational age was 32.99 ± 3.01 weeks, with the majority in the 32 to <37 weeks group. Low birth weight (<2500 g) was observed in 72.26% of cases. The leading cause of respiratory distress was neonatal infection (46.45%), this was followed by pulmonary conditions, with pneumonia accounting for 38.06% and respiratory distress syndrome for 32.9%.Overall, 71% of patients recovered and were discharged, 12% died or were discharged against medical advice and 17% were referred to higher-level facilities. Poor treatment outcomes were significantly associated with lower gestational age, low birth weight, severe respiratory distress, need for respiratory support (invasive and non-invasive ventilation), use of vasoactive agents, and total parenteral nutrition (p < 0.05). No significant associations were found between outcomes and sex, mode of delivery, or number of antibiotics used.

Conclusion: Neonatal infection and respiratory distress syndrome were the primary causes of respiratory distress in preterm neonates. Most patients had favorable outcomes, with a high rate of recovery and discharge. Early diagnosis and timely intervention are crucial for improving prognosis.

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