Causes of breathlessness of the newborn
Shortness of breath with a newborn (asfyksi) may be due to several factors before, during and after birth.
Lack of development of the brain, which styringcenteret for breathing is located, possibly due to poor oxygen through the placenta. Smoking during pregnancy also have an influence on ilttransporten.
Birth can be difficult and complex periods in which the oxygen supply through the placenta is not sufficient for the court hard loads for the child. From a mechanical umbilical cord may be squeezed during birth leading risk of brain damage.
Shortness of breath occurs most often in too early or too late-born children. Lack of development of the newborn babies lungs have a significant impact, they can be immature and have poor air with breathing difficulties as a result.
Some medications may have a åndedrætsnedsættende effect (such as morphine) to the child. If the mother has taken morphine or morfinlignende medication shortly before the birth, the effect of the medication still apply the child.
Symptoms of breathlessness of the newborn
The newborn child has difficulty breathing, and they do not sound. The mild shortness of breath move the child, but the arms and legs working stiff. The skin has a bluish color. In severe shortness of breath is the child inert and lax. The skin will have a blue to bleggrå color.
Complications of breathlessness of the newborn
Shortness of breath can lead to suffocation in minutes. Even after five minutes, the risk of permanent brain damage imminent. By birth in the hospital is, however, prepared to put in with measures that can get the newborn baby's breathing under way in a few seconds.
Precautions for the breathlessness of the newborn
If a lay person in the situation that we must revive a newborn child who can not breathe, it is important first to clean the child's throat and then give artificial respiration.
Consideration of breathlessness of the newborn
Usually you fødselslægen or midwives, even before birth has started to calculate the risk for the development of shortness of breath with the newborn. By careful monitoring of fødselsprocessen can detect whether the fetus will have too little oxygen. In such cases we can accelerate the birth in different ways, so that the child should be able to breathe on their own (see Aids at birth ).
About 10% of all newborn babies require some form of assistance to breathing must get started. In most cases it is sufficient to give the child a slap in the back.
If the child does not even begin to breathe after birth, sucked the nose, mouth and throat clean to remove slime and do åndedrætsvejene free. If, despite this not once in breathing, the child must have artificial respiration by you place an oxygen mask over his nose and mouth. Via iltmasken can oxygen-air under pressure led to the respiratory system. This will normally the child to take a deep breathing when oxygen stimulates the child's brain.
In severe cases of shortness of breath respiratory function must be maintained with a mechanical respirator, which is coupled to the trachea in the neck front. Respiration is usually started in a few minutes. If the nervous system are damaged or incompletely developed, it may be necessary to maintain breathing with the respirator for several weeks. If the child's brain has not been without oxygen for more than five minutes, asfyksien do not lead to permanent damage.