C-sections

Anyone's LO have PPHN?

DS was 38wks when I had to have my cs for FTP/FTD. When he was born his apgars were 8 and 9 but within 30min they had to put him on O2 and he just got worse and ended up getting air lifted twice to two different NICUs and was put on an ECMO machine. He was diagnosed with Persistant Pulmonary Hypertension of the Newborn. He didn't swallow mechonium or have any decels before he was born, and when I asked the NICU DRs' about why this happened they said that it sometimes happens to babies that are born via cs because they don't experience the "squeezing" effect of a vaginal birth and the change in pressure is somehow different.

Anyone else have this experience with their cs? I've googled it quiet a bit and it seems pretty rare, so part of me doesn't believe that it could have just happened. My OB never said that this could be an associated risk of cs, so I was pretty blindsided.

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Re: Anyone's LO have PPHN?

  • One of my boys developed PH after being born.  I think it was 3 months after he was born...after almost 5 months in the NICU it all kind of runs together.

    Does your LO have a heart murmur?  My guy has one that contributes to his PH.  Additionally, he has BPD as a result of being born so early.

    Is your LO still in the hospital?  Have they tried nitric mixed in with his O2 to decrease the pressure in his lungs? 

    My LO was on nitric for several days and then they started him on a medicine that is a maintanance drug for him.  Essentially, it's Viagra.  It helps to dialate the vessels in the lungs and reduces the pressure that pushes the blood away from the lungs.

    Hang in there!  I know how scary it can be.  Let me know if you have any other questions I may be able to answer.  I'm usually on the Preemie board if you need to find me.

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  • My DS is out of the NICU now, he's almost 9months but he's been in and out of the hospital for RSV and now Asthma. He was on two different ventilators, and nitric and then they transfered him to the ECMO. He was in the NICU for about 45 days and had alot of trouble learning how to eat again. He still has alot of problems from scaring in his esophogus from having to be intubated. He also was on some pretty serious antibiotics which, we were told, could cause hearing loss up to two years later.

    It was a pretty scary time, and we're not completely out of the woods but it seems like the lingering side effects aren't anthing we can't deal with. DS goes to an audiologist every few months to check on his hearing and he hasn't had any problems yet.

    I suppose I just felt really blindsided by how it all happened and I still doubt that it just happened because of the cs.

    45 days felt like alot of time in the NICU, I can't imagine how you feel after 5 months. We'll keep your family in our thoughts and prayers!

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  • I'm an NICU RN and we see PPHN in both c/s and vaginal born babies.  It is very rare and there really is no explaination why it happens.  Some babies just have a hard time converting from fetal circulation to outside world circulation (which is essentially what PPHN is). 

    I'm so sorry you had to go through that.  The NICU alone can be scarey, especially when your baby is on the vent, but to add ECMO to it must have been even more scarey.

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  • I forgot to add that a lot of the time the baby is sick/has some kind of infection in the blood that can cause it too.
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