Respiratory distress syndrome
Respiratory disorder that involves widespread alveolar collapse
Most common cause of neonatal death
If mild, subsides slowly after about 3 days
Almost exclusively affects neonates born before the 27th gestational week; occurs in about 60% of those born before the 28th week
Most common in neonates of mothers with diabetes, neonates delivered by cesarean birth, and neonates delivered suddenly after antepartum hemorrhage
Certain complications are associated specifically with the preterm neonate (see Complications that may affect preterm neonates, page 122)
Also called RDS or hyaline membrane disease
Causes
Surfactant deficiency stemming from preterm birth
Signs and symptoms
History of preterm birth or cesarean birth
Maternal history of diabetes or antepartum hemorrhage
Rapid, shallow respirations
Intercostal, subcostal, or sternal retractions
Nasal flaring
Audible expiratory grunting
PallorStay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree