#asktheexpert my baby is suffering from TTN and she is in NICU SINCE LAST 10 days. Previously she was on cpep and she is on high flow machine support. Doctors are trying to feed her orally but after feeding her respiratory rate goes up to 65 . Can you please help here to address this issue.
I am not able to attach the case summary because of the file size limit. Please help me with the what’s app number so that I can share

Question

#asktheexpert my baby is suffering from TTN and she is in NICU SINCE LAST 10 days. Previously she was on cpep and she is on high flow machine support. Doctors are trying to feed her orally but after feeding her respiratory rate goes up to 65 . Can you please help here to address this issue. 
I am not able to attach the case summary because of the file size limit. Please help me with the what’s app number so that I can share

Accepted Answer

I'm sorry to hear about your baby's condition. Transitioning from respiratory support like CPAP (Continuous Positive Airway Pressure) to feeding can be challenging but is a positive step in her recovery. Here’s what you can expect and some tips for managing this situation:

Understanding TTN (Transient Tachypnea of the Newborn)

TTN is a common condition in newborns, especially those born via cesarean section or preterm. It usually resolves within a few days as the fluid in the lungs is absorbed and normal breathing is established.

Feeding in the NICU

1. Type of Feeding:

Breast Milk or Formula: If your baby is stable enough, the medical team will likely encourage either breast milk or formula feeding, depending on your feeding plan.

Nasal Gastric (NG) Tube: If she is not able to suck effectively yet, the doctors may use an NG tube for feeding. This allows her to receive nutrition directly into her stomach without tiring her out.

2. Feeding Approach:

Start Slowly: Feeding may begin with small amounts to see how well she tolerates it. Gradually, the amounts will increase based on her needs and tolerance.

Frequent, Smaller Feeds: Babies in the NICU often do better with smaller, more frequent feeds rather than larger ones.

3. Monitoring:

Keep an eye on her respiratory status during feeds. If she shows signs of distress, the medical team may adjust her feeding plan accordingly.

Pay attention to her feeding cues, even if she's on a feeding tube.

Supporting Your Baby

1. Skin-to-Skin Contact (Kangaroo Care): If possible, engage in skin-to-skin contact. This can be comforting for both you and your baby and may help with her overall recovery.

2. Stay Informed: Keep in close communication with the NICU team. They can provide updates on her progress and when she might be ready to transition to full feeding.

3. Be Patient: Recovery from TTN can take time, and every baby progresses at their own pace.

4. Breast Milk: If you are pumping, continue to provide breast milk, as it offers essential nutrients and antibodies that can support her recovery.

When to Seek Help

If you have concerns about her feeding, breathing, or overall condition, don’t hesitate to ask the medical staff for clarification or further information. They are there to help you navigate this challenging time.

Wishing your baby a smooth recovery and hoping you can bring her home soon!