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

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