Understanding Neonatal Hydropulmonary Disease: Causes, Symptoms, and Treatment Options

2023-09-18 04:00:11

After Selina (Ren Jiaxuan), a member of the Taiwanese group SHE, gave birth to the son “Little Cashew” of her non-industry boyfriend “Xiao Xu”, Selina said that she was admitted to the hospital early before she could wait for fetal movement, and gave birth naturally after being injected with a birth-inducing injection. The lungs have water accumulation, and they need to be kept outside the incubator, and their throats must be inserted, etc. Regarding the problem of pulmonary hydrops in newborns, Dr. Chen Xinyong, a pediatrician, shared the following.
Author of this article: Dr. Bosco Chan, Pediatric Specialist

Neonatal hydropulmonary disease is caused by insufficient lung maturity in infants

When the baby is not born, it is protected by a lot of amniotic fluid in the mother’s belly. It does not need to rely on the lungs to breathe. The nutrients are directly delivered to the baby by the mother’s umbilical cord.

But after birth, the baby has to breathe on its own, depending on whether the baby’s lungs can breathe independently. However, when some babies are first born, their lungs are not mature enough because they have not adapted. Therefore, when the baby cries after being born normally, The lungs will open, fetal fluid will be slowly absorbed, and breathing will become smoother.

However, some babies’ lungs are not mature enough for some reasons, so when the surface tension in the alveoli is not enough, the baby’s alveoli cannot be opened when breathing or crying, and the fetal fluid is absorbed more slowly, forming Commonly known as “water accumulation in the lungs”, this causes asthma and shortness of breath after the baby is born. If it is serious, you may need to deliver oxygen to the baby, or even check the oxygen content of the baby’s blood, and use a ventilator to help breathe.

Premature babies who are not yet 37 weeks old are prone to pulmonary hydration or shortness of breath due to immature lungs. In addition, babies born by caesarean section do not go through the normal birth canal compression, so the water will be absorbed more slowly than babies born by caesarean section. Compared with the baby born through the birth canal, the baby is more likely to develop pulmonary hydration. Male BBs or those with heavier weights are more likely to develop pulmonary hydration due to their heavier weight.

The baby’s history of pulmonary hydrops does not affect lung function

Pulmonary hydration will not affect BB’s lung function, because the lungs mature and grow every day, and the air bubbles in the lungs grow every day, so pulmonary hydration will not easily cause lung diseases in the future.

Pregnancy check failed to detect pulmonary hydrops in baby in advance

You won’t be able to detect pulmonary hydration in the mother’s belly in advance. Ultrasound can detect pulmonary hydration in the baby’s lungs, but it won’t detect pulmonary hydration because the baby is already pregnant in the mother’s belly. Surrounded by water. Pulmonary hydrops can only be determined by whether the baby has asthma or shortness of breath after birth.

There is really nothing special that expectant mothers can do. However, natural delivery, that is, normal delivery, will reduce the occurrence of pulmonary hydration. If the mother really wants to avoid this problem, she certainly does not want her baby to be born prematurely, so to avoid premature birth, natural delivery at the same time is better than caesarean section.

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Is pulmonary hydrops common in newborns?
Is it possible that the baby drank two doses of fetal water when he was born?

More than 10% of premature babies (especially those born at a younger age) are prone to wheezing, shortness of breath and pulmonary fluid accumulation. There is about 4-5% chance of these conditions occurring in full-term babies.

BB does not have water accumulation in the lungs caused by drinking fetal water, but it depends on how fast the fetal water is absorbed. Slow absorption and immature lungs can lead to wheezing and shortness of breath. In most cases, observation is the first step. First, we must rule out factors such as whether the BB will suffer from inflammation and infection. Because I have shortness of breath, I worry about some infection in my BB. Generally speaking, if BB is wheezing, a lung X-ray will be taken first to observe and rule out the presence of pneumonia symptoms. If it’s severe, you may need a blood test to check for inflammation.

When conditions other than pneumonia are ruled out, no special antibiotics are needed, just close monitoring and keeping warm in an incubator. Normally, it will slowly recover within 8 hours, the asthma will decrease, breathing will return to normal, and there will be no need to use oxygen, and the situation will improve naturally.

Is there any relationship between taking birth-inducing injections and lung accumulation?

Q: Take Seline as an example. The baby is already 38 weeks old. When the baby was checked, it already weighed 3,000 grams and the head circumference was more than a week old. She also chose to give birth naturally. Will the birth induction injection have any chance of affecting the newborn?

There is no special relationship between birth-inducing needles and pulmonary tract. If you choose to give birth naturally, it is better to go through the normal birth canal than others (for example: cesarean section BB). The BB weighs three kilograms, which is not too heavy. So unfortunately he has pulmonary hydration, but if he recovers naturally and quickly, he doesn’t need any treatment.

Neonatal Hydropulmonary Myth

Pulmonary hydrops has nothing to do with advanced maternal age, living habits and eating habits

Dr. Bosco Chan Pediatric Specialist
1695184762
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