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Pediatrics General 350d3b19

Transient tachypnea of new born (TTN) is commonly seen in which of the following situations –

A
Term delivery requiring forceps
B
Term requiring ventouse
C
Elective caesarean section
D
Normal vaginal delivery
High-Yield Explanation
In text books, both elective caesarian section and normal preterm or term vaginal delivery have been mentioned as risk factors for transient tachypnea of newborn. But the best answer is caesarian section - "Delivery by caesarian section and gestational age are the risk factors for TTN". —Articles Obs & Gynae Transient tachvpnea of Newborn (TTN) Transient tachypnea of the newborn is a benign self-limiting disease occuring usually in term neonates and is due to delayed clearance of lung fluid. It is also called respiratory distress syndrome type H TTN follows - Uneventful normal preterm or term vaginal delivery Cesarean delivery TTN is believed to be secondary to slow absorption of fetal lung fluid resulting in decreased pulmonary compliance and tidal volume and increased dead space therefore also known as wet lung. Clinical manifestations Early onset of tachypnea El Sometimes refraction or expiratory grunting u Occasionally cyanosis Patients usually recover rapidly within 3 days. Hypoxemia, hypercapnia and acidosis are uncommon.

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