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Dr.Smah

Respiratory distress in neonates of smoker mothers

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Much respect to this amazing society 

Is there any specific considerations in managing neonatal respiratory distress in infant of smoker mother ? 

Thanks in advance 

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20 hours ago, Dr.Smah said:

Much respect to this amazing society 

Is there any specific considerations in managing neonatal respiratory distress in infant of smoker mother ? 

Thanks in advance 

The problem with this population is seldom in the ICU setting (assuming people are not actually smoking in your ICU), however, from my experience as a house officer on a children's hospital pulmonary ward, certainly children with BPD will suffer from a home environment full of smoke (it certainly felt like many of the BPD 'frequent flyers' had parents who smoked while the pulmonary fellows would insist that their BPD clinics were not like this).

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32 minutes ago, tarek said:

@Dr.Smah

Do you mean acute management in nicu for babies whom there mothers are smokers..? 

Yes exactly Dr

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Same here - although maternal smoking is less prevalent nowadays, we have/do not managed infants differently.

Although smoking is related to preterm birth as such (see for example https://www.ncbi.nlm.nih.gov/pubmed/15901269) - my personal experience is not that maternal smoking would (as such) relate to severity of respiratory morbidity.

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Thank you all for replay ..I just noticed that respiratory distress unfortunately  I see in infants of smoker mothers was more severe and not easily controlled like non smoker mothers .

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Same here in Japan, as well as in our unit in Canada, no special management for preterm infants of smoking mothers. Although we have a concern towards smoker parents when they visit their babies in the NICU, we do ask them not to smoke before coming to the NICU and to wear newly washed cloth which doesn't have smoking smell in them.

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