Dear Friends:
When a baby breathes too fast for a prolonged period after birth, the
baby is separated from the mother and this puts a big snag in starting
breastfeeding.
Penn State Children's Hospital lists a cesarean section as one of the
risk factors for TTN (along with prematurity, born to a mother who smoked in
labor, a baby small for gestational age, a baby born to a mother with
diabetes). The reasoning they give is as follows:
___________________________________________________
"During the birthing process, as a soon-to-be-born baby passes through the
birth canal, some of the fluid inside the baby's lungs is "squeezed" out. After
birth, during the first breaths that a newborn takes, the lungs fill with
air and more fluid is pushed out of the lungs. Any remaining fluid is then
coughed out or gradually absorbed into the body through the bloodstream.
In infants with TTN, however, there is extra fluid present in the lungs or
the fluid in the lungs is absorbed too slowly. As a result, it is more
difficult for the baby to take in oxygen properly, and she breathes faster and harder
to compensate. TTN is also called "wet lungs" or type II respiratory
distress syndrome."
__________________________________________________
Every website I did a google search on for TTN alluded to cesarean section as
a risk factor, and mentioned the lack of a squeeze as a way to empty the
fetal lungs of fluid.
Obstet Gynecol. 1985 Jun;65(6):818-24.
Respiratory morbidity benefit of awaiting onset of labor after elective
cesarean section.
Cohen M, Carson BS.
This study talked about what Nancy mentioned about going into labor first,
as a way to reduce TTN.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|