Transient Tachypnoea of the Newborn (N)

Question 1

What is a risk factor?

Answer 1

C-section

Commonest cause of respiratory distress in term infants (more common in C-section deliveries)

Question 2

What are the signs and symptoms?

Answer 2

• Increased FiO2 requirement
• Tachypnoea
• Grunting, flaring
• Retractions
• Good bilateral air entry
• Cyanosis if severe

happens shortly after birth (around 3 days)

Question 3

What investigations would you carry out?

Answer 3

CXR 🡪 fluid in horizontal fissure, perihilar markings, good lung volume
ABG 🡪 mild hypoxia with normal or raised pCO2

Diagnosis made after ruling out other causes

Question 4

What is the management?

Answer 4

Start antibiotics until infection rules out (cannot differentiate between sepsis)
Additional oxygen
ABG
CPAP
NG tube as rapid respiratory rate can cause aspiration
Reassure 🡪 self-limiting, no risk of chronic/ respiratory problem. Resolves usually by day 1-3