Neonatology Book

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Transient Tachypnea of the Newborn

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  1. See Also
    1. Respiratory Distress in the Newborn
  2. Epidemiology
    1. Most common cause of Newborn Respiratory Distress (40% of cases)
  3. Pathophysiology
    1. Benign cause of Newborn Respiratory Distress
    2. Response to residual pulmonary fluid following delivery
  4. Risk Factors
    1. Maternal factors
      1. Ceserean Section delivery
      2. Gestational Diabetes
      3. Maternal Asthma history
    2. Newborn factors
      1. Male gender
      2. Fetal Macrosomia
  5. Signs
    1. Tachypnea
      1. Onset: Within 2 hours of delivery
      2. Duration: Hours to Days
  6. Imaging: Chest XRay
    1. Diffuse parenchymal infiltrates
    2. Heart with surrounding "wet silhouette"
    3. Intralobar fluid
  7. Differential Diagnosis
    1. Respiratory Distress in the Newborn
  8. Management
    1. See Respiratory Distress in the Newborn
    2. See Newborn Resuscitation
    3. Supportive care - generally improves spontaneously
    4. Avoid potentially harmful or unhelpful measures (e.g. Lasix is not effective)

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