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Newborn with high respiration rate, Possible meconium aspiration - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   My baby is post 72hrs born and has a avg 60 respiration rate. Past 3 days he is in nursery. Could u let me know is this normal and when do i get the baby back. It was an elective caeserian post 37 weeks
Doctor :   Hi
User :   Hi
User :   Hi
Doctor :   May I know is your baby a preterm or post term baby?
User :   post term completed 8.5 weeks
User :   It was thru IOI
Doctor :   I am sorry, you meant post 72 hours after completion of expected day of delivery?
Doctor :   Do you know if he is having any other symptoms?
Doctor :   Is he on a venilator?
User :   No symptoms and no ventilator
User :   his respirtion rate was high
User :   so he was shifted immediately to nursery
Doctor :   I can see that, have you talked to his doctors treating him?
Doctor :   Did he cry at birth?
User :   yes
User :   yes he cried and their was some grunning sound
User :   thts why the doctor said they have shifted him to nursery
Doctor :   May I know what the doctor's said regarding the need for observation - did they comment it was meconium aspiration?
User :   no its 3 days since birth he has been monitored for 72 hrs as of now
Doctor :   Ok
User :   i have no idea abt it
Doctor :   Let me explain to you.
Doctor :   An average respiratory rate in a normal new born is about 30 to 40 breathes per minute.
Doctor :   Upto 60 breathes indicate mild to moderate lung inflammation.
Doctor :   This either could occur due to infection or post date delivery.
User :   ok
Doctor :   Without a clinical examination and access to his reports,
Doctor :   I cannot give a valid diagnosis as the reason for the stay in the observatory room.
Doctor :   But having said that,
Doctor :   if your baby is not on venilator
Doctor :   it is a good sign that it is not a serious concern.
User :   but delivery was not post date it was in 8.5 months post 37 weeks
Doctor :   Any delivery after completion of 36 weeks
Doctor :   is normal delivery and you need not worry.
User :   does our procedure of IOI has anything to do with this
User :   if he maintains around 60 will he be allowed to go home
Doctor :   Respiratory rate of 60 is still high.
Doctor :   If I were to be the pediatrician incharge,
Doctor :   i will be examining the child- lung ausculation, the sound the produced while breathing,
Doctor :   if they are improving then wait for a day or 2 and discharge the child.
Doctor :   Breathing is expected to improve if the above parameters have improved.
User :   lastly any future risk involved with this complication
Doctor :   To put in simple words, the need for observation (since you mentioned that he had grunning sound while breathing and increased respiratory rate) is probably lower respiratory inflammation.
Doctor :   which is expected to improve with good oxygenation, fluids and antibiotics.
Doctor :   No major complications is expected
Doctor :   once the condition is improved.
Doctor :   I would suggest you to talk to his treating doctor
Doctor :   as to what the real diagnosis is.
User :   Sure and thanks!!
Doctor :   A more clear picture to the time of recovery and next plans can be predicted
Doctor :   once you know what exactly the diagnosis is.
Doctor :   Having said that,
Doctor :   with the above mentioned details
Doctor :   I do not find any major/serious problems.
Doctor :   Your child should be back to you in a few days, maximum of another 3-4 days.
Doctor :   Have you followed what i suggested?
Doctor :   Do you have any other query?
User :   no thanks
Doctor :   Thanks for consulting me.
Doctor :   Wish your child speedy recovery.
Doctor :   Bye for now.
User :   bye
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