Doctor insights on:
Congenital Pneumonia In Newborn
My son was born w/ dual pneumothorax ischemic hypoxia &congenital pneumonia. I was diagnosed with mild chorioamnitis. Should I worry in future pregnancy?
Germ entry, inhaled: An infants transition to air breathing is marked by exposure to some interesting risks. When the bag of waters opens, germs from the moms anus & genitals can travel up & into that fluid & begin to grow. If labor is long, they may get into the mouth or lungs, or enter the lungs with the first breath. If baby passes poo before birth, it can enter the lungs the same way. All can trigger pneumonia. ...Read more
They're not: There are no pneumonia vaccines given to newborns. The Hepatitis B Vaccine has been recommended for newborns for decades. The initial pneumococcal vaccine for infants was approved for use starting at 6-8 weeks in 2000, with the present expanded vaccine formulation approved in 2010. ...Read more
Worrisome infection: Prior to birth, the lungs are formed but not inflated. Somewhat like a balloon. There is some fluid within the lung spaces that moves into the blood after the lungs inflate (babies first crys). If germs get into that fluid during labor or delivery, the lung tissue becomes infected & functions poorly. Baby may need extra oxygen and breath rapidly. Treatment is aimed at killing germs & supporting baby ...Read more
Germs: Prior to delivery, infants have access to the fluid that circulates in the bag of waters. The longer that bag is open, the more likely germs can get in and get to baby, enter the lungs, and begin a pneumonia before delivery. Babies can also acquire germs in the birth canal and inhale them with their first breath. Early recognition and treatment is the only chance baby has for survival. ...Read more
Neonatal pneumonia: Duration of illness will depend upon multiple factors, including the organisms involved, mode of acquisition of infection, immune status of the baby, efficacy of therapy and rapidity with which it was begun, whether it required pulmonary support, and so on and so on. ...Read more
Question not clear: Are you asking if a newborn can get pneumonia after being in the hospital for a week? If so, yes. Hospital acquired pneumonias are common, even in infants, particularly if the infant is being hospitalized for another issue. If you are asking whether a newborn can still have pneumonia after being treated for a week the answer is also yes, but the reasons would have to come from the pediatrician. ...Read more
Respiratory distress: A description of a newborn with pneumonia is a newborn born to a mother who may have signs or symptoms of an infection. Thus, a newborn may be born with respiratory difficulty (ie. Rapid of difficult breathing) and require respiratory support (Oxygen and/or Ventilation Support). They may or not have an elevated temperature. A Chest X-ray will document chest infiltrates. ...Read more
Pneumonia: Newborn babies are pretty resilient. Plus their mother's transferred immunity protects them well. Whether they can or cannot catch it, if it is contagious, they can and it will depend on who's going to win - the bug or the immune system of the baby. ...Read more
I have been diagnosed with walking pneumonia and told I've had it for 2 weeks and have a newborn that is 12 days old and a 3 year old should I worry?
This germ spreads through water droplets from cough/sneezing. Try to cover up mouth/nose when coughing and wash hands frequently. If your children begin to show signs of respiratory infections be sure to tell their Pedi you had walking pneumonia. Most patients handle this infection well. Can cause temporary wheezing in the very young.
http://www. Webmd. Com/lung/walking-pneumonia ...Read more
Disease proression: GBS is variable in it's pattern. If the germ transfers to baby during early labor, they are often symptomatic at birth and easily recognized. Since they normally enter baby through the nasal passages/lungs, a pneumonia is a common feature. If acquired in late labor or during delivery, GBS disease may wait up to 6 weeks before emerging. Without the chart, I cannot say if it was missed, but likely not ...Read more
Hard to say: The specifics of your case is known best by the treating physicians. I would expect no less than a 10 day course of treatment, but more than that would require a better knowledge of the specifics of the case. Keeping up to date with the treating doc can answer your question. ...Read more
Multiple factors: Multiple factors determine the recovery from hypoxia in neonates with pneumonia. Premature neonates are at greatest risk due to underlying prematurity related lung disease. Other factors include maternal fever or chorioamnionitis, premature rupture of membranes, sepsis, duration of mechanical ventilation, nosocomial infections, congenital heart disease etc. Discuss with your neonatologist. ...Read more
Group b strep (gbs) is a gram-positive streptococcal bacteria also known as streptococcus agalactiae. It is not the same as group a strep which causes strep throat. It is a bacteria which can spread from mother to newborn infants and is the most
common cause of sepsis and meningitis in the United States during a newborn's first week of life. It is not restricted to premature infants. ...Read more
My newborn son had meconium aspiration pneumonia and chest x-rays twice daily for 1 week. Does the radiation increase his risk for cancer?
No: There was a media flap some years about after a laughably bad journal study claimed that thousands of people were dying each year from routine chest x-rays. The fallacy was assuming a linear risk where the curve is really sigmoidal or exponential. Junior is gravely sick, needs the x-rays in any case, and my hope is that he will pull through. I'm glad to offer some relief. Good luck and be strong. ...Read more
CAH: Most common is 21 hydroxylase deficiency. Females born with it usually have ambiguous genitalia because a block in adrenal hormone synthesis causes an androgen buildup. Can't tell by looking at a boy. State newborn screening should pick it up right away. Medical emergency to identify as medication is necessary to replace cortisol and aldosterone within a couple of days after birth else crisis. ...Read more
Yes: Yes, it is a heart defect you are born with. It may be simple, moderate, or very serious. They include "holes in the heart", valve problems, malformed or absent chambers, valves, or blood vessels. Just under 1 % of all babies are born with some type of defect, often minor and temporary. They are usually diagnosed shortly after birth, occasionally much later. ...Read more
Yes: Yes it can cause death.Get a more detailed answer ›
Yes and No: Cephalohematomas occur because of trauma to the scalp during the birth process. Babies use their heads to push out, and the force they use is enough to cause that bleeding. Also can occur with use of a vacuum during birth to assist delivery. While it is present at birth, you could call it "congenital". However, we usually use that word to describe conditions a baby is born with that are permanent. ...Read more
Yes, some: Some lung infections may take weeks to months to heal. Recovery can vary widely depending on someones age, degree & type of infection and other medical issues. In general each week your symptoms should be better than the last. Intense symptoms including fever & trouble breathing should not be prolonged and indicate need for immediate medical attention. ...Read more