Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
180 Doctors are Online

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 : 40 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
Question is related to
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor