TRANSIENT TACHYPNEA OF THE NEWBORN

Question 1

Definition

Answer 1

o Commonest self-limited respiratory distress in full term

o Due to delay in clearance of fetal lung liquid

Question 2

Risk factors

Answer 2

o Cesarean section 
o Maternal asthma and smoking 
o Maternal diabetes
 o Maternal excess analgesia 
o Perinatal asphyxia

Question 3

Clinical picture

Answer 3

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

Question 4

Chest X-ray

Answer 4

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

Question 5

TX

Answer 5

Supportive care as before

1- Provide oxygen as needed

2- Antibiotics

3- Infants with significant distress have poor bowel motility and require IV fluids