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Why did full-term children suffer from respiratory distress

BY Iris Wheatley 2020-04-12

   "The child has respiratory distress and is in danger of life, and you should immediately go to the neonatology department! You follow me soon!..." The pediatric hospitalization explained to the family while pushing the incubator all the way while running. In a minute, a fat-looking newborn was quickly transferred to the neonatal department of our hospital. Under the guidance of the professor, the child got on the ventilator. The child''s bluish-violet color gradually became red, and the breathing became even... ..

  Families are confused and talk to the pediatrician with emotions: "My child is full term, how does a good child have trouble breathing, what is the disease of my child? You explain to me !......"

  "The child has full-term respiratory distress syndrome, I know it is difficult for you to accept it all at once, it is like this..." With patient explanation, the family''s tightening brows gradually stretched out, and the excitement gradually eased.

  Full-term infant respiratory distress syndrome? What is this all about?

  Speaking of neonatal respiratory distress syndrome, many people are not unfamiliar. The disease is caused by a lack of lung surfactant in children, which causes respiratory distress and respiratory failure. This disease is more common in premature babies, the smaller the gestational age, the higher the incidence. The main clinical manifestations are: the child''s crying can be normal at birth, dyspnea occurs within 6 to 12 hours, and it gradually increases with groaning. Irregular breathing, the child may have chest collapse, apnea, and his complexion becomes gray or blue due to hypoxia, and oxygen supply cannot reduce it. Hypoxic patients with hypotonic muscle tone. The rib cage collapsed and faced the danger of life at any time. Once the disease is diagnosed, the ventilator should be used as soon as possible, and the neonatal PS replacement therapy (that is, administration through the tracheal intubation and the injection of pulmonary surfactant into the trachea of the child) within 24 hours after birth. This method can save the child''s life to the greatest extent.

  However, a neglected phenomenon has occurred. According to reports, respiratory distress syndrome in full-term infants in our country is on the rise. Selective cesarean section is a major cause of this disease in newborns. With the increase in cesarean section rate, especially the increase in the rate of selective cesarean section, the increase in the incidence of neonatal respiratory distress syndrome in term infants cannot be ignored!

  During the natural delivery process, it is regularly Contractions can cause the fetus to get a certain stress response, and the hormones produced during contractions can prepare the fetus for birth and make the alveoli more flexible, which is beneficial to the development of the lungs of the newborn. However, children without caesarean section can not completely exclude lung fluid without squeezing the birth canal, and may not be able to breathe spontaneously after birth, which is prone to complications such as neonatal respiratory distress syndrome.

  Remind young parents whether they should follow the advice of a gynecologist or obstetrician if they choose a cesarean section. Do not blindly choose a good day, or think about reducing the pain of childbirth in childbirth, which violates natural laws. It will also affect the health of the newborn and increase the chance of complications in the newborn. In addition, maternally born children with high blood sugar have high term respiratory distress syndrome, so regular blood sugar testing during pregnancy is also very important.

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