Zisovska, Elizabeta and Madzovska, Lidija and Dimitrovska Ivanova, Marija (2019) Transient tachypnea of the newborn. Knowledge - International Journal, Scientific Papers, 34 (4). pp. 925-930. ISSN 2545-4439
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Abstract
Transient tachypnea of the newborn is a mild breathing problem. It affects babies during the first hours
of life. Tachypnea means fast breathing rate, and usually affects term newborns, more likely those delivered by Csection. The problem usually goes away without treatment in 3 days or less. Only a small number of all newborn
babies get this breathing problem. Your baby's healthcare provider may use a chest X-ray to help diagnose the
problem. On X-ray, the lungs look streaked and overinflated. The symptoms of this breathing problem may be
similar to other more serious respiratory problems. These include lung infection (pneumonia) or premature lungs
(respiratory distress syndrome). Often transient tachypnea of the newborn is diagnosed when symptoms go away in
the first few hours to days of life.
The Aim of this study was to evaluate and describe the frequency and course of perinatal and postnatal factors in
neonates experiencing transient tachypnea during the first hours of life and to determine risk factors for
complications of this condition.
Methods: This was prospective opservational study during the period of six months in 2019, at the University Clinic
for Gynecology and Obstetrics in Skopje. In the evaluation process were included newborn children born later than
34 gestational weeks, admitted to the Neonatal Department. The correlation between gestational age and need of
oxygen support was determined, and the overall outcome of those newborns presented. If necessary, X-ray of lungs
was performed.
Results: In this study 2268 newborns were evaluated, born as late preterm (35th and 36th gestational age) and term
newborns. None of the evaluated newborns was admitted to the Intensive Neonatal Care Unit. The C-section rate in
the facility during this period for the evaluated newborns was 38,5%. Transient tachypnea was detected in 178
newborn babies, 65/178 were late preterm and 113/178 were term newborns. The proportion of preterm/term
newborns was 246/2022. The accurate diagnosis has to be confirmed with X-ray in 30% of all of them presenting
unclear signs of respiratory problems. The condition was resolved by its own in 83%, and the other have developed
symptoms of more severe respiratory diseases, as respiratory distress syndrome in premature infants, congenital
pneumonia, or respiratory condition of extra-pulmonary origin.
Discussion: Transient tachypnea of the newborn occurs in approximately 1 in 100 preterm infants and 3.6-5.7 per
1000 term infants. It is most common in infants born by Cesarian section without a trial of labor after 35 weeks'
gestation. It is self-limiting condition and the symptoms are resolved spontaneously, excluding some cases which
could be complicated. The likelihood of complications is 1-2%.
Conclusion: Transient tachypnea is very common cause of respiratory condition in neonates. Fortunately, the
prognosis is very good, but when managing transient tachypnea of the newborn, it is imminent to observe for
development of respiratory fatigue and signs of clinical deterioration that may suggest some other diagnoses.
Keywords: transient tachypnea, term newborn, C-section
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Elizabeta Zisovska |
| Date Deposited: | 22 Oct 2019 10:03 |
| Last Modified: | 22 Oct 2019 10:03 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/22725 |
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