1. Respiratory distress (fast breathing) occurs in approximately 7% of newborn at birth.
2. Most are caused of transient tachypnoea of the newborn (excessive fluids in lung), respiratory distress syndrome (immature lungs) and meconium aspiration syndrome (meconium irritation to lungs).
3. Other causes are pneumonia, sepsis, pneumothorax (air in pleural space), persistent pulmonary hypertension of the newborn (failure of pulmonary resistance fall soon after delivery) and delay
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ed transition.
4. Less common causes are congenital heart defect, airway malformations and inborn error of metabolism.
5. Clinical presentation of respiratory distress in the newborn are tachypnoea (more than 60 breaths per minute), cyanosis (bluish discoloration of lips), grunting sound, nasal flaring, chest retraction and poor feeding. Ucenter Dress prom selections in black
6. Initial evaluation may include complete blood count, chest radiography and pulse oxymeter.
7. Treatment is disease specific and options are respiratory support and judicious use of antibiotics.