Obstetrics has advanced to the point where the maternal mortality is less than 1%. It is both amazing and shameful to find an unchanged perinatal morbidity and mortality during the first 7 days of life in the last four decades.
Most of the literature on atelectasis and hyaline membrane disease in the perinatal period is concerned with the secondary chemical causation. Just as much is concerned with treatment of lung pathology, cardiac failure, elevated pCO2 levels, anoxemia, and cerebral anoxia of an elective section of the premature infant and the infant of a diabetic mother.1 Very little information has been offered concerning primary mechanical etiology and its immediate treatment.
At the risk of being practical, I believe the realist has the proper answer. How can one hope to bypass with oxygen the alveoli and/or bronchi and bronchioles two hours or later after birth? Treatment should be directed to
Barnett RP. ASPIRATION OF AMNIOTIC FLUID OF THE PERINATE: NEW CONCEPT OF AN OLD DISEASE. JAMA. 1959;169(12):1325–1326. doi:10.1001/jama.1959.73000290005010b
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