TRANSIENT &TACHYPNEA OF“
”THE NEWBORN
Prepared by: laith abd alhameed jabar
supervised by : Dr. oğr Üyesi erdal Ünlü
?What Is Transient Tachypnea of the Newborn
• Some newborns have very fast or labored breathing in the
first few hours of life because of a lung condition called
transient tachypnea of the newborn (TTN). "Transient"
means it doesn't last long — usually, less than 24 hours.
"Tachypnea" means to breathe quickly.
• Babies with transient tachypnea are closely watched in the
hospital, and some might need extra oxygen for a few
days. Most babies make a full recovery. TTN usually does
not have any lasting effects on a child's growth or
development.
What Causes Transient Tachypnea of the
?Newborn
• Before birth, a developing fetus does not use the lungs to
breathe — all oxygen comes from the blood vessels of the
placenta. During this time, the baby's lungs are filled with fluid.
• As the baby's due date nears, the lungs begin to absorb the fluid.
Some fluid also may be squeezed out during birth as the baby
passes through the birth canal. After delivery, as a baby breathes
for the first time, the lungs fill with air and more fluid is pushed
out. Any remaining fluid is then coughed out or slowly absorbed
through the bloodstream and lymphatic system
• Babies with TTN have extra fluid in their lungs or the fluid leaves
too slowly. So they must breathe faster and harder to get enough
oxygen into the lungs.
Signs & Symptoms of Transient Tachypnea
?of the Newborn
• very fast, labored breathing of more than 60
breaths a minute
• grunting sounds when the baby breathes out
(exhales)
• flaring nostrils or head bobbing
• skin pulling in between the ribs or under the
ribcage with each breath (known as retractions)
• bluish skin around the mouth and nose (called
cyanosis)
Risk factors
• Born before 38 completed weeks gestation
(early term)
• Delivered by C-section, especially if labor has
not already started
• Born to a mother with diabetes or asthma
• Twins
• Male sex
Diagnosing of TTN
The symptoms of TTN are very similar to several other
breathing problems.
The health care team may run tests to rule out these more
serious problems.
Tests may include:
• Chest X-rays to look for fluid in the lungs
• Blood tests to look for infection
• Constant monitoring of the baby’s oxygen level, breathing
rate, and heart rate
Radiographic finds
Chest X-ray
• Increased
interstitial
Marks(wet lungs)
• Increased fluids in
interloper fissures
Treatment
Your baby will be given oxygen to keep the blood
oxygen level stable. Your baby will often need
the most oxygen within a few hours after birth.
The baby's oxygen needs will begin to decrease
after that. Most infants with TTN improve in less
than 24 to 48 hours, but some will need help for
a few days.
TREATMENT
• Babies with TTN are watched closely
and may go to a
neonatal intensive care unit (NICU) or
special care nursery. There, doctors
check babies' heart rates, breathing
rates, and oxygen levels to make sure
breathing slows down and oxygen
levels are normal.
TREATMENT
Breathing help:
• Will giving oxygen mask to keep blood
oxygen level stable .
• Some babies with TTN need extra
oxygen. They get this through a small
tube under the nose called a
nasal cannula .
TREATMENT
• positive airway pressure (CPAP) to
keep the lungs from collapsing. With
CPAP, a machine pushes a steady
stream of pressurized air or oxygen
through a nasal cannula or mask.
This helps keep the lungs open
during breathing.
Nutrition
• Good nutrition can be a problem when a baby
is breathing so fast that he or she can't suck,
swallow, and breathe at the same time. If so,
intravenous (IV) fluids can keep the baby
hydrated while preventing blood sugar from
dipping too low.
Nutrition
• Sometimes babies can get breast milk or
formula through a:
• nasogastric (NG) tube: a small tube placed
through the baby's nose that carries food right
to the stomach
• orogastric (OG) tube: a small tube placed
through the baby's mouth that carries food
right to the stomach.
Infectious
• Since TTN may be difficult to distinguish from
early neonatal sepsis and pneumonia, empiric
antibiotic therapy with ampicillin and
gentamicin should always be considered.
?How can transient tachypnea be prevented
• There’s no way to prevent transient tachypnea.
However, you can increase your chances of giving
birth to a healthy baby by:
• eating a healthy diet during pregnancy, which
includes lots of fruits, vegetables, and whole grains
• seeing your doctor regularly for prenatal checkups
• quitting smoking
• not consuming alcohol or drugs that aren’t
prescribed by your doctor
Thanks
