TRANSIENT TACHYPNEA OF THE NEWBORN Flashcards
Definition
o Commonest self-limited respiratory distress in full term
o Due to delay in clearance of fetal lung liquid
Risk factors
o Cesarean section o Maternal asthma and smoking o Maternal diabetes o Maternal excess analgesia o Perinatal asphyxia
Clinical picture
y Mild respiratory distress (tachypnea) within few hours after birth.
y The chest generally sounds clear without rales or rhonchi ( “quiet”
tachypnea)
y Spontaneous resolution usually occur within 72 hours
Chest X-ray
o Prominent perihilar streaking, which correlates with the engorgement of the
lymphatic system with retained lung fluid
o Fluid in the fissures
o Hyperinflated lung& mild cardiomegaly
TX
Supportive care as before
1- Provide oxygen as needed
2- Antibiotics
3- Infants with significant distress have poor bowel motility and require IV fluids