Doctor insights on:
Neonatal Pneumonia Chorioamnionitis
Endometritis is an infection in the uterus. It can be caused by many different types of bacteria. It usually presents with lower abdominal pain, abnormal foul smelling discharge, and fever. It can occur following pregnancy and is often seen in women who had a prolonged period of time of ruptured membranes prior to delivery. It is also seen in women remote from ...Read more
Yes: 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
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
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
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 moreSee 1 more doctor answer
An infection: Pneumonia, neonatal or otherwise, is an infection in the lungs from a bacteria, virus, or fungus. In a newborn typical sources include the vaginal canal, or an ill contact after delivery. Infants on a breathing machine are at high risk of infection. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Are complete blood cell counts useful in the evaluation of asymptomatic neonates exposed to suspected chorioamnionitis?
Multiple tests: Imaging of the lung and in particular ct scan of the chest can often help define the kind of interstitial lung disease, in addition pulmonary function tests can quantify the amount of lung function loss. Blood tests that detect abnormal antibodies seen in inflammatory diseases associated with interstitial pneumonia can be helpful, for example tests for lupus, rheumatoid arthritis. ...Read more
Interstitial pneumonia is an inflammatory process that affects the walls of the small air sacs in the lungs causing them to thicken & cause difficulties with oxygentation. Several infectious & non-infectious processes can cause accumulation of inflammatory cells & fibrous deposits in the walls of the air sacs causing the lungs to become stiffer & unable to ...Read more
Intra-amniotic infection (formerly called chorioamnionitis) is infection of the chorion, amnion, amniotic fluid, placenta, or a combination. Infection increases risk of obstetric complications and problems in the fetus and neonate. Symptoms include fever, uterine tenderness, foul-smelling vaginal discharge, and ...Read more
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