Transient Tachypnea of the Newborn
Gross Ian
Transient tachypnea of the newborn (also called retained fetal lung fluid, or wet lung) is a benign, self-limited condition seen primarily in full-term infants. It is believed to result from delay in the reabsorption of fetal pulmonary fluid. There is an association between delivery by cesarean section and the development of this condition, possibly because of the compression of the chest during vaginal delivery and the mechanical “wringing out” of fetal lung fluid.
CLINICAL MANIFESTATIONS
Infants with transient tachypnea present with respiratory distress shortly after birth. The features are tachypnea, mild retractions, and sometimes cyanosis. The clinical course usually is transient and mild, with resolution of the problem in 24 to 48 hours. In some infants, the condition is more severe and may persist for 72 hours or longer.