Transient Tachypnea of The Newborn

Acute

What is Transient Tachypnea of The Newborn?

Transient tachypnea of the newborn is a respiratory problem that can be seen in the newborn shortly after delivery. It is caused by retained fetal lung fluid due to impaired clearance mechanisms. It is the most common cause of respiratory distress in term neonates. It consists of a period of tachypnea

  • flaring nostrils or head bobbing.
  • grunting sounds when the baby breathes out (exhales)
  • very fast, labored breathing of more than 60 breaths a minute.
  • skin pulling in between the ribs or under the ribcage with each breath (known as retractions)

Complications. Some infants may develop hypoxia, respiratory fatigue, and acidosis. Occasionally, air leaks (eg, a small pneumothorax or pneumomediastinum) may be seen in infants who have increased work of breathing.

Transient tachypnea of the newborn (TTN) is a benign, self-limited condition that can present in infants of any gestational age shortly after birth. It is caused by a delay in the clearance of fetal lung fluid after birth, which leads to ineffective gas exchange, respiratory distress, and tachypnea.

TTN primarily occurs soon after birth and can last from 24 to 72 hours. Risk factors for TTN include elective cesarean section, male sex, late prematurity, low birth weight, macrosomia, polycythemia, maternal asthma and maternal diabetes.

Prevention. Schedule elective cesarean delivery until 39 weeks' gestation or later or wait for the onset of spontaneous labor. Also, consider establishing fetal maturity as appropriate for elective cesarean delivery prior to 39 weeks' gestation.

How is it diagnosed?

How is it diagnosed?
  • Supplemental oxygen. Oxygen is given to your baby by placing a mask on the face or prongs (cannula) in the nose.
  • Blood tests.
  • Continuous positive airway pressure (CPAP).
  • IV (intravenous) fluid.
  • Tube feeding.

How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Babies with TTN are watched closely and may go to a neonatal intensive care unit (NICU) or special care nursery. There, doctors check babies' heart rates, breathing rates, and oxygen levels to make sure breathing slows down and oxygen levels are normal.

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