The Cause Of Breath In A 5 Month Old Baby Sometimes Stops Briefly?

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Illustration: The Cause Of Breath In A 5 Month Old Baby Sometimes Stops Briefly? blog.cincinnatichildrens.org

I want to ask, my child is a girl aged 5 months and a half why when sleeping, how come the breath stops briefly then takes a deep breath, if it is too tight, the child is crying and can’t breathe ?? for the information

1 Answer:

Hi Wiwin,

There are several disorders of the baby's breathing pattern. Periodic breathing is a condition where breathing stops occurring for less than 10 seconds and is usually followed by rapid and shallow breaths which then gradually return to normal. There is also another disorder called periodic apnea, which is a state of stopping breathing for more than 20 seconds accompanied by bradycardia (slow heart rate), hypoxia (lack of oxygen is usually characterized by a bluish tone in the baby's mouth or body), and decreased muscle tone (the child looks weak and keplek).

Periodic breathing is common in preterm infants and can also occur in term infants (small percentage), but usually does not cause significant problems and only lasts temporarily. Meanwhile, periodic apnea usually indicates another abnormality. Periodic apnea can be caused by central disturbances (brain function) and obstructive disorders (obstruction of the airway). In periodic apnea due to central disturbances, the brain becomes insensitive to increased levels of carbon dioxide in the body and does not stimulate the body to ventilate. It is usually characterized by reduced chest wall motion until no breath sounds are heard during auscultation (attaching a stethoscope to the chest to hear breath sounds). This disorder can occur in conditions of brain infection, bleeding in the brain, brain immaturity in premature babies, and so on. Periodic apnea caused by obstruction, for example due to secretions (mucus / phlegm / snot) in the airway when a baby has flu, airway structural disorders such as laryngomalacia (cartilage disorder in the airway, so that the airway is not patent and tends to collapse), obesity, etc.

Determination of the cause of the respiratory pattern disorders must be done by direct examination by a doctor, especially a pediatrician. Investigations that may be done are blood laboratory (complete blood count, blood gas analysis, etc.), polysomnography (examination to record brain activity during sleep), chest x-rays, etc. if necessary.

Mothers need to be vigilant if the child stops breathing followed by signs that the child becomes lightheaded, looks pale or bluish, the more often it occurs, there is a growth disorder (weight does not gain), you should immediately consult a doctor. Several things must be considered, lay the child in a supine or tilted position, avoiding the prone position while sleeping; avoid using pillows that are too high; use baby bedding that is not too flexible which can cause the baby to lose neck posture to keep the airway open; if the baby is overweight you should also consult a doctor.

Thus the explanation from me, may be useful.

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