Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • signs of postmaturity
  • tachypnea
  • cyanosis
  • systolic murmur
  • chest wall asymmetry with decreased air entry
  • barrel-shaped chest

Other diagnostic factors

  • grunting
  • chest retractions
  • rales
  • rhonchi
  • tachycardia
  • hypotension

Risk factors

  • gestational age >42 weeks
  • maternal hx of hypertension, preeclampsia, eclampsia, smoking, substance abuse
  • fetal distress
  • oligohydramnios
  • thick meconium
  • Apgar score <7
  • chorioamnionitis
  • cesarean delivery
  • black or East Asian ancestry
  • male gender

Diagnostic investigations

1st investigations to order

  • CXR
  • CBC
  • CRP
  • blood culture
Full details

Investigations to consider

  • dual pulse oximetry
  • ABG (pH, PaO2, PaCO2)
  • echocardiography
  • cranial ultrasound
  • EEG
  • urinalysis
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Dharmapuri Vidyasagar

Professor Emeritus

Department of Pediatrics

University of Illinois at Chicago

Chicago

IL

Visiting Professor

Department of Neonatology

Sri Ramachandra Medical College

Chennai

India

Disclosures

DV is an author of a number of references cited in this monograph.

Professor of Pediatrics

Department of Pediatrics

University of Illinois at Chicago

Chicago

IL

Disclosures

RB is an author of a reference cited in this monograph.

Peer reviewers VIEW ALL

Medical Instructor

Department of Pediatrics

Division of Neonatology

Duke University

Durham

NC

Disclosures

JW declares that he has no competing interests.

Professor

Retired Consultant Neonatologist

Royal Maternity Hospital

Honorary Professor

Department of Child Health

Queen's University Belfast

Belfast

UK

Disclosures

HLH declares that he has no competing interests.

Clinical Senior Lecturer

Obstetrics

Gynaecology and Neonatology

Royal North Shore Hospital and The University of Sydney

Sydney

Australia

Disclosures

JS declares that he has no competing interests.

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