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‘Transient Tachypnea Of The Newborn’ – 5 Symptoms & 5 Treatments You Should Be Aware Of



Having your baby in your arms is one of the best feelings in the world, isn’t it mommies? Your little one depends on you for every single thing, and while this is of course a great feeling, sometimes, as a parent, there are situations where you may feel helpless and scared yourself.

Seeing your newborn gasping for breath is one such very distressing moment. Well, if your little one has gone through the same, rest assured, it is a normal occurrence. What you are seeing is probably a case of Transient Tachypnea. As per facts available, around 1% of the new born babies develop this condition.

What Is Transient Tachypnea?

Transient Tachypnea can be defined as a respiratory disorder that is observed in the newborns, who experience difficulty in breathing in the first few hours after birth.

  • It may occur in preterm and full term babies.
    • The very name Transient Tachypnea means ‘for a short duration’ as in the name “Transient” and ‘brisk breathing’ as in the name “Tachypnea.”.
  • Usually, babies with the condition of Transient Tachypnea take around 60 or more breaths in a minute.
  • In the womb, the fetus does not use the lungs to breathe as oxygen is supplied through the placenta by the means of blood vessels. Thus, the lungs get filled with a special kind of fluid that is produced in the lungs and aids the growth of the lungs.
    • During labor, the liquid is pushed out as the baby passes through the birth canal. However, there might be traces of the liquid left.
  • After the birth, as the baby breathes in rapidly and takes in more amount of air, the liquid oozes out.
  • However, if the liquid leaves the lungs slowly or does not come out during the process of birth as in the case of C-sections, then the baby experiences difficulty in breathing and suffers from the condition of Transient Tachypnea.
  • This condition is short lived and a baby becomes perfectly normal within 24- 48 hours after birth. If the condition does not improve post 48 hours then medical intervention might be required.

Causes Of Transient Tachypnea Of The Newborn:

Some of the common reasons that a baby might develop Transient Tachypnea are as follows.

  • C-section delivery.
  • If the mother has pre-medical conditions of diabetes or asthma.
  • The process of cord clamping being delayed.
  • Excessive weight of the baby.
  • If the mother has been administered excess of fluid.
  • Hasty vaginal delivery.

In addition, this condition is mostly prevalent in baby boys.

Symptoms And Signs Of Transient Tachypnea Of Newborn:

Here are some of the commonly observed symptoms of Transient Tachypnea.

1. Brisk breathing at the rate of 60 breaths or more per minute.

2. During exhalation of breath a sound of grunting or moaning can be observed.

3. Pulling of the skin between the ribs and the ribcage or occurrence of retractions.

4. The skin around the nose and the mouth develops a bluish tinge or development of cyanosis.

5. Nostrils appearing as flaring or bulging.

Diagnosis Of Transient Tachypnea:

In order to diagnose Transient Tachypnea efficiently, the following medical procedure may be followed:

  • The doctor might conduct an X-ray of the lungs to detect traces of fluid present in the lungs.
  • A small piece of tape might be fastened to the leg or hand of the baby.
  • The performance of the lungs is monitored on a computer where the doctors observe if the lungs are sending enough oxygen to the blood. This process is known as Pulse-oximetry.
  • At times, a blood test is required to check the levels of oxygen. Alternatively, a Complete Blood Count may also be done by taking blood from the heels or one of the veins of the baby.

Treatment Of Transient Tachypnea:

Here mentioned are some of the steps for transient tachypnea of the newborn treatment.

1. Usually the symptoms of Transient Tachypnea go away on its own within 24 to 48 hours after birth; however, in severe cases the baby might have to be put on ventilator support.

2. In cases where the condition is not that severe, a supply of oxygen through an oxygen cylinder or an external source aids the breathing of the baby.

3. Babies are also given a supply of oxygen through a tube that is placed under the nose of the baby and is attached to a breathing machine. The airways are kept open by the continuous flow of oxygen from the machine. This is called the CPAP or Continuous positive airway pressure.

4. Babies are given supplementary fluids, electrolytes or glucose by means of IV fluid as they might find it difficult to nurse or be breast fed if they have respiratory issues. Also, antibiotics may be administered to them through an IV or Intravenous fluids.

5. Occurrence of Transient Tachypnea is very normal in the newborns and timely medical attention can help solve the discomfort of the baby within a few hours.

We of course understand how difficult it will be for you to see your baby in such a condition. We hope the information shared here will aid you identify the symptoms immediately, helping you get medical attention for baby immediately.

In case your baby suffered the same issues too, do share your experiences here to help out other mommies.

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Baby Safety

What Should Be The Right Age To Take Your Baby For Swimming?




Swimming is not only an enjoyable fitness activity but is also a life-saving skill. Are you anxious to know when to start swimming lessons for baby? If yes, then our article is the best for you and your doubts.

At What Age Can Babies Start Swimming Lessons?

Well, mommies, by the time your darling turns six months old, he or she is capable of kicking and splashing water and will enjoy his or her stay in the pool. So, from 6 months of age, you and your baby can enjoy a fun time in the pool of your house!

  • There is no need to worry about the chlorine in water, but make sure your baby is holding her head up before you take her to swim. This will keep her sturdier and firmer.
  • Do not worry if you find her screaming in the initial days. If she loves bathing, there are chances that she will love to swim as well.
    • You can consider taking trail classes before enrolling her for the regular classes. Give it some time for your baby to get used to the cold water.


Pay Attention To Water Safety:

Water safety is one of the biggest concerns that you need to keep in mind while taking your baby for swimming. You need to ensure your baby is not facing near drowning situations. Here is some water safety rules that you need to keep in mind :

  • Keep a close watch on your baby. You must be around all the time. Hold on to her in the pool. Do not leave her unattended!
  • Keep a track on the duration of swimming. It must not exceed 10 minutes. You can increase the time gradually and must her out of water when she starts shivering.
  • If your baby is on her way to becoming a toddler and starts running, teach her not to run near the water bodies. Make her wear personal flotation device (PFD).

Keep Tears To The Minimum:

To ensure you keep her tears to the minimum, here are some strategies you need to keep in mind:

  • Give her time to settle in the water. Hold her securely and make her feel safe.
  • There is no need to rush, always start slow. Start with gentle motions. Swaying from side to side or bouncing up and down are some good options.
  • Once your baby is comfortable, you can demonstrate the basic fun skills like splashing and bubbles.
  • Praise her even in case of her smallest accomplishments.
  • You can begin with flotation devices and make sure to not use them when you are teaching her to swim.

6 Important Tips To Remember:

When you are considering taking your baby to swimming classes, here are some important aspects that you must be aware of. Take a look:

1. There is no need to immunize your baby fully before taking her to swimming classes. In case you have any concerns, you can have a talk with your doctor about your pre-immunization concerns.

2. Body temperature of babies tends to vary. See to it that the water is not very cold. Again, the water must not be too hot, as that can too be very dangerous for her.

3. Your baby should be fed 30 minutes before getting into the pool. Even if it is liquid it must be fully digested.

4. In case you are feeding solids, give at least an hour for the food to get digested completely.

5. Due to rigorous exercises after swimming, she might feel hungry; offer her a big meal after the classes.

6. Foods should never be brought inside the pool facility, as it’s harmful to do so.

Hope by now you might have known when can you take babies swimming. When you start early, take advantage of the primitive strokes that comes naturally to your baby. When she is younger, her inbuilt gag reflex is the strongest. This means she can hold her breath without worrying about it when swimming.

Happy swimming with your baby!

Moms share with us when was the first time you took your baby for the swimming classes.

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Baby Safety

Necrotizing Enterocolitis In Infants – Symptoms, Diagnosis & Treatments




Necrotizing enterocolitis (NEC) is a medical condition that is typically seen in premature infants. It occurs during the second and third week of development; what typically happens is the lining of the intestinal wall dies and falls off.

Why Is NEC Dangerous?

When the intestines are damaged, it may lead to the intestines to become swollen or even some severe cases develop a hole or a perforation.

  • This situation results in it incapacity to hold waste; thus all bacteria and the waste move through the intestine and into the blood or even into abdominal cavit.
  • This in turn can make the baby severely sick and at times the infection can be fatal.

Susceptible Age Groups:

Necrotizing enterocolitis affects infants who weigh less than 1500g, with a mortality rate of 50% or depending on the severity of the condition. Babies that are at a higher risk to develop NEC include:

    • Babies who are preemies.
  • Premature babies who are fed concentrated formulas.
  • Babies can get it if they are exposed to an environment where an outbreak as happened.
  • Babies who may have had blood transfusion.

What Causes Necrotizing Enterocolitis In Infants:

The main cause is unclear but some experts feel there are few factors that may play a part in it, they are:

  • Less oxygen or reduced blood flow to the intestine makes it difficult to create a mucous lining needed for digestion.
  • Underdeveloped intestines or a wound to the lining of the intestine.
  • Large growth of bacteria in the intestines.
  • Exclusively Formula fed babies.

NEC can also spread like an ‘epidemic’ affecting in babies in the same hospital wing or crèche. But it could also purely coincidental. And many hospitals take the utmost care to maintain such areas infection free.

Necrotizing Enterocolitis Symptoms:

Signs of NEC may look like those of other stomach illnesses and the severity varies from one baby to another baby. Initially symptoms can be very subtle and they can include one or more of the following:

  • Abdominal tenderness or distention or both vomiting diarrhea and/or bloody, dark stools.
  • Not feeding well.
  • Food staying for longer periods in the stomach than usual less active.
  • Apnea (interval stops in breathing).
  • Bradycardia.
  • Hypotension.

Diagnosing Necrotizing Enterocolitis:

In more severe cases liquid or fluid in the abdominal cavity can show up on X-ray. Also a condition called peritonitis which is the infection of the membrane lining the abdomen can be seen. Some of the Initial tests conducted are:

  • An X-ray is done to confirm the presence of any abnormal gas present in the intestines. It would look like a striped appearance of gas or a bubbly gas formation.
  • A occult blood test or stool test.
  • Presence of elevated white blood cell count in a CBC Thrombocytopenia (low platelet count) Lactic acidosis.
  • In few rare and severe cases the escaped gases can be seen in the veins of liver or abdominal cavity. A needle maybe inserted by the doctor into the abdominal cavity to withdraw the fluid and determine whether there is a perforation.

Necrotizing Enterocolitis Treatment:

All babies with this condition need to be given treatment with a combination of therapy and medication. Some of them may require surgery to repair the intestine.

After diagnosis, the treatment begins this include:

  • All feelings will be stop temporarily.
  • Process of nasogastric drainage is done.
  • IV fluids for replacing lost fluid are given.
  • The infection is treated by administering antibiotics.
  • X-rays and frequents examinations of the stomach are conducted.
  • Blood samples and stool samples are also taken to look for bacteria and to make sure baby hasn’t developed anemia.
  • Baby’s belly will also be checked periodically to rule out swelling.
  • If it is swollen that will interfere with breathing, hence a ventilator maybe used in such cases.
  • Once the baby’s body responses to the treatment, the following steps are taken:
  • Baby’s regular feedings may be back after a week. At times it may be suppressed a bit longer and antibiotics will be given for another week or two weeks.
  • When feeding starts, breast feeding is recommended.
  • Breast milk is favorable for a baby with NEC because this is easily absorbed by the intestines also boosts baby’s immunity which is especially important for a premature baby with an immature immune system.
  • For those mothers who can’t breast feed or have less production of breast milk, doctors recommend them to giving pasteurized human breast milk from a milk bank, which can be considered a safe remedy.

Surgical Option For NEC Babies:

In rare cases, exploratory surgery is the only option for babies with an intestinal perforation. The procedure includes the following:

  • The doctors examine the stomach cavity to look for the hole in the intestine or to remove any dead or dying tissue.
  • Sometimes doctors may even conduct a second surgery to check and remove any diseased part of the intestine.
  • Once this is completed healthy intestine can be sewn back together.
  • In cases where the baby is very ill or large section of the intestine is removed, an osteomyelitis is done; in which surgeons bring an area of the intestine to an opening on the stoma so that the stool can safely exit the body.

Do Babies With NEC Fully Recover?

Most babies suffering from NEC do fully recover and do not face future feeding problems. If in cases where the bowel is bruised or narrowed or intestinal blockage happens, then more surgery is required.

  • Malabsorption can be a persistent problem, especially for babies whose part of the intestine is removed. For such infants, nutrients are given intravenous till the intestine heals enough to tolerate normal feedings.
  • You may be very worried when you may not be allowed to feed your baby. But this is the best for your baby and with the right treatment she will be back to regular feedings.

Best way to handle this issue is to be strong, believe in your doctor and find new ways to be close with your baby. People are always ready to support and help the parents of premature babies, as well as the babies themselves towards a steady path of recovery.

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