Table 1.
Summary of definitions and characteristics of neonatal respiratory conditions
| Condition | Term or preterm status | Definition and etiology | Clinical characteristics | Radiographic characteristics | Risk factors |
|---|---|---|---|---|---|
| Respiratory Distress Syndrome (RDS) [7, 10, 12, 14] | Preterm | Respiratory distress caused by surfactant deficiency or dysfunction from immature lung development | Tachypnea, grunting, retractions, and cyanosis | Poorly inflated lungs and ground-glass appearance with air bronchograms | Prematurity, male sex, white race, and/or maternal diabetes |
| Apnoea of Prematurity (AOP) [9, 12] | Preterm | A self-limiting disorder with pauses in breathing caused by immature development of the lungs and brain (central), lung obstruction (obstructive), or both (mixed). May also be considered a symptom of other conditions, such as low blood sugar or infection | Cessation of breathing for more than 20 s, bradycardia, cyanosis, and/or pallor | Radiograph not necessary | Prematurity and genetic susceptibility |
| Bronchopulmonary Dysplasia (BPD) [8, 10, 12, 13] | Preterm | Also known as a type of chronic lung disease resulting in oxygen dependency for at least 28 days and may persist by 36 weeks postmenstrual age caused by immature, damaged lungs previously exposed to invasive treatment(s) | Apnoea, tachypnea, grunting, retractions, and/or wheezing | Pulmonary fibrosis, hyperinflated lungs with larger alveoli and smaller surface area, and reticular markings | Prematurity, mechanical ventilation, chorioamnionitis, postnatal sepsis, oxygen toxicity, fluid overload, and/or patent ductus arteriosus |
| Meconium Aspiration Syndrome (MAS) [3, 4, 10, 12] | Late preterm to post-term | Lung obstruction, inflammation, irritation, infection, and/or surfactant deactivation caused by inhaled meconium | Tachypnea, grunting, retractions, and/or cyanosis | Hyperinflated lungs with patchy densities | Meconium-stained amniotic fluid, post-term birth, small for gestation age, fetal distress, placental issues, and/or umbilical cord problems |
| Transient Tachypnea of the Newborn (TTN) [4, 6, 10–12] | Any | A self-limiting disorder with persistent alveolar fluid caused by delayed or inadequate reabsorption and/or pulmonary maladaptation | Tachypnea, hypoxemia, acidosis, and cyanosis | Lung hyper-expansion, perihilar markings with fissure fluid, or pleural effusions | Caesarean delivery, maternal asthma, male sex, macrosomia, and/or maternal diabetes |