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Transient Tachypnea of Newborn
(TTN; Wet Lungs; Type II Respiratory Distress Syndrome; Retained Fetal Lung Fluid; Transient RDS)
|Respiratory System of an Infant|
|Copyright © Nucleus Medical Media, Inc.|
- The baby doesn’t respond well to the chemical signals during labor
- Fluid isn’t squeezed out of the lungs in the birth canal
- Rapid, labored breathing (over 60 breaths per minute)
- Grunting or moaning sounds when exhaling
- Flaring of the nostrils
- Retractions—with each breath, the chest appears to sink in between the ribs or under the ribcage
- Cyanosis—skin around the mouth and nose has a bluish tinge
Blood tests, such as:
- Complete blood count—to look for signs of infection, such as pneumonia
- Blood culture—to look for signs of infection caused by bacteria or other microorganisms
- Blood gas determination—to check the oxygen level in the baby’s blood
- Chest x-ray —an image of the lungs to check for causes of respiratory problems
- Pulse-oximetry monitoring—an oxygen sensor is placed on the baby’s foot to determine how much oxygen is making it into the blood from the lungs
- Supplemental oxygen—oxygen may be given through a mask, a tube that passes under the nose, or a tent. This extra oxygen will lower the workload on the lungs.
- Continuous positive airway pressure (CPAP)—a tube is placed under the baby’s nose. The tube is attached to a breathing machine. The machine pushes a continuous flow of air or oxygen into the airways. This will help keep the airways open.
- Antibiotics—intravenous (IV) antibiotics may be given until test results are back. The antibiotic will be stopped if the tests do not show an infection.
- Supplemental feedings—it can be difficult for an baby to nurse when he/she has breathing problems. An IV line may be used to delivers fluids, glucose, and electrolytes.
- Ventilator support—a ventilator may be used if a baby is really struggling to breath. This machine will help or take over breathing for the baby.
- Eat a healthful diet. Aim for a diet low in saturated fats and rich in whole grains, fruits, and vegetables.
- Have regular prenatal check-ups.
- Don’t smoke. If you smoke, quit.
- Avoid drugs and alcohol.
American Academy of Pediatrics http://www.healthychildren.org
March of Dimes http://www.marchofdimes.com
Canadian Pediatrics Society http://www.cps.ca
Health Canada http://www.hc-sc.gc.ca
DynaMed Editorial Team. Transient tachypnea of neonate. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated March 9, 2012. Accessed July 25, 2012.
Transient tachypnea of Newborn. Kids Health Nemours website. Available at: http://kidshealth.org/parent/medical/lungs/ttn.html. Accessed July 25, 2012.
Lucille Packard Children’s Hospital. Transient tachypnea of the newborn. Lucille Packard Children’s Hospital website. Available at: http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/hrnewborn/ttn.html. Accessed July 25, 2012.
- Reviewer: Kari Kassir, MD
- Review Date: 09/2013
- Update Date: 09/30/2013