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Editorial
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Volume 360:183-184 January 8, 2009 Number 2
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Making Small Risks Even Smaller
Michael F. Greene, M.D.

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 by Tita, A. T.N.
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Cesarean sections performed without antecedent labor are associated with a higher risk of respiratory distress than those performed after the onset of labor, despite the fact that they may have been done at full term (at least 37 weeks of gestation).1 This respiratory distress is usually transient tachypnea of the newborn, which is generally milder in both severity and duration than respiratory distress syndrome due to hyaline membrane disease in premature babies. Unlike hyaline membrane disease, which results from a surfactant deficiency, transient tachypnea of the newborn results from delayed clearance of fetal alveolar fluid. The volume of fetal alveolar . . . [Full Text of this Article]


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From the Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston.


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