Childhood Diseases

Question
Posted by: Amu | 2011-09-20

Q.

Baby born at 38 wks but immature lung

Please help me understand. My baby was born Frid 16 at 38 weeks but had to be taken to NICU because his breathing was not right. he had to be given oxygen to assist him. when he doesnt cry then the chest movement looks normal but when he cries then his chest goes up and down so fast the you can see that he is struggling. Right now he has tubes so the way to see hat he is crying is by the ovement of the mouth. he is sedated when he cries at times.

what caused this for a full term and when should i expect to see him out of NICU. I am in tears, he weighed 3.01 and his AGPAR score was 7/10 and 8/10. everything else seems normal except the breathing.

Expert's Reply

A.

Paediatrician

You have given an excellent description of your newborn baby's breathing problem. This sounds like a condition called 'neonatal meconium aspiration syndrome'. Babies may breathe in a small amount of the amniotic fluid which may contain some meconium passed by the baby. Meconium is the baby's first stool. This occurs more commonly if there is some distress of the baby during birth, but sometimes no cause is found for this aspiration happening.Your baby is on the correct treatment and should respond well to this treatment.I hope that he will soon be going home with you.Read more about 'aspiration syndromes in newborns' on Google

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

9
user comments

C.

Posted by: Amu | 2011-09-20

Thank you everyone, the reason i had C is because my first child was breech so i had it before.
I really am taking refuge on the hope that u giving me though it just pains me to see the little ones in tubes

Thank u Prof, i will definately google this condition.

Reply to Amu
Posted by: TC | 2011-09-20

Hi. Me again. You do not need to feel guilty at all. This could still happen even if he was born at 40 weeks. There is no way that you would know this in advance. Little hope......as said my 4 year old born at 36 weeks and 2.6kg and my 9 year old born at 37 weeks and 2.8 kg and he is now playing hooker for his school''s 1st team and he has his SA clothes in Archery and is representing his scool in athletics as well. He was also in ICU and in an incubator and he is now a huge big boy. Keep on beliving and just love your little one and you will see everyting will be fine.

Reply to TC
Posted by: AlsoMom | 2011-09-20

Don''t feel guilty Amu! its not your fault. Your gynae should have explained the risks to you, and should definately have done it at 39 weeks at the earliest. They like to do it early, because then you are not at risk of going into labour and having them need to come out at an unplanned hour.

Reply to AlsoMom
Posted by: Just Me | 2011-09-20

Yes elective C-sections can be very risky to little one expecially when full term has not been reached, i.e. 40weeks. most babies are ready by 36weeks, but not all of them, some still need the extra 4 weeks to fully develop. your gynae should have explained all these facts and risks. its easy to go for elective c section without fully considering the risks. hence im a full advcoate of natural unless something points otherwise. hope your little one gets better and all the best.

Reply to Just Me
Posted by: Amu | 2011-09-20

Oh my Gosh, i feel so guilty, why i didnt wait 1 more week. I''m in Rustenburg at Ferncrest hospital. I will definately ask him.
Thanx TC, did he also go to ICU if so how long?

Reply to Amu
Posted by: TC | 2011-09-20

Hi. My boy was born at 36 weeks by emergency C-section as I went into labour. He got cortisone (sp) and weighed 2.6kg. He is now a very healty little 4 year old. Hang in there. YOu will see baby is in good hands and the hospitals are equiped to look after them very well. Good luck.

Reply to TC
Posted by: AlsoMom | 2011-09-20

At which hospital was you c-section done? it has been more than a year that the general consensus has been that c-sections should not be done before 39 weeks? you should have a serious talk with your gynaecologist as it is actually unacceptable that he/she did the c-section at 38 weeks. Actually, you should report him/her...

I think it would be best if the Prof answered your question on when your little one will start improving.


Reply to AlsoMom
Posted by: Amu | 2011-09-20

Thanks,
No i didnt go to labour but i just had a scheduled C @ 38wks becasue i thought from then the baby is consired term. I wish i could have waited a bit longer.
Does it mean when they Would have been 39wks, he will also show some improvements.

Reply to Amu
Posted by: AlsoMom | 2011-09-20

Dear Amu

Firstly, stay strong! your baby is in good hands. Did you go into labor early? I know in our hospital that is the reason why cesarean sections may no longer be done at 38 weeks, and now is done at 39 weeks at the earliest. Thinking of you! and prayers for your baby.

Reply to AlsoMom

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