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Respiratory inhibition after crying and feeding hypoxemia in infants

Hideki Minowa1, Kouichiro Hirayama2, Reiko Tamura1

  • 1a Department of Neonatal Intensive Care Unit , Nara Prefecture General Medical Center , Nara , Japan and.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|November 4, 2014
PubMed

Insights

Respiratory inhibition after crying (RIAC) and feeding hypoxemia are common in healthy infants. These conditions involve repeated, prolonged hypoxemia, with most infants recovering but some requiring extended monitoring.

Area of Science:

  • Neonatal physiology
  • Pediatric cardiology
  • Clinical pediatrics

Background:

  • Respiratory inhibition after crying (RIAC) and feeding hypoxemia are clinical events in neonates.
  • Understanding their incidence and risk factors is crucial for infant care.

Purpose of the Study:

  • To determine the incidence, risk factors, and natural history of RIAC and feeding hypoxemia.
  • To investigate correlations between these events and other neonatal factors.

Main Methods:

  • A cohort of 393 infants with gestational age ≥36 weeks was screened using pulse oximetry.
  • Twenty-seven infants required neonatal intensive care unit (NICU) treatment.

Main Results:

  • RIAC occurred in 24.2% and feeding hypoxemia in 31.6% of infants.
  • Both conditions correlated significantly with each other and with factors like abnormal cranial ultrasound findings, twin gestation, and maternal smoking.
  • All infants recovered from RIAC; 10 infants with feeding hypoxemia required extended monitoring.

Conclusions:

  • RIAC and feeding hypoxemia are observed in healthy infants.
  • These conditions can lead to repeated episodes of prolonged hypoxemia.
  • While most infants recover, some may need additional monitoring and support.
Abstract

Keywords:
Cranial ultrasonographySpO2 monitoringhypoxemiainfantspulse oximetry

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