Abstract

BACKGROUND:
Transient tachypnea of the newborn (TTN) is a condition characterized by tachypnea that develops shortly after birth but resolves within 2 to 5 days. TTN has been reported to occur more frequently in Caesarean delivery, maternal sedation, perinatal asphyxia, maternal asthma, and birth of male infants.
AIM OF THE STUDY:
To assess the risk factors for transient tachypnea of newborn in Duhok.
METHODS:
This study included 100 cases with TTN and 100 controls who are full term neonates without any respiratory problems. All participants were chosen from deliveries in Maternity Hospital in Duhok from Nov. 2018 till Nov. 2019. The diagnosis of TTN was established with clinical and radiology data and by excluding other causes of respiratory distress.  Potential risk factors for TTN are selected as follows: maternal age, parity, history of infertility, pregnancy-induced hypertension, premature rupture of membranes, induction or augmentation or both of labor, mode of delivery, neonatal birth weight and Apgar score of the neonates.
RESULTS:
This study showed the risk factors that emerged to be significant in this study that included multigravida mother, pregnancy induced hypertension, birth weight <2,500grams , APGAR score<7 at 5min and delivery by Caesarean section( elective and emergency) .Other risk factors that were not significant included maternal age >35years ,maternal infertility, in vitro fertilization, maternal diabetes mellitus, maternal asthma, male gender, prolonged rupture of membrane, induction of labor and twin pregnancy.
CONCLUSION:
Low birth weight, APGAR score <7 at 5 minutes, delivery by Caesarean section, pregnancy induced hypertension in the mother and multiparty are significant predisposing factors for transient tachypnea of newborn.