What are the symptoms of neonatal swallowing syndrome?

May 13, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
Due to the aspiration of excessive amniotic fluid or swallowing of large amounts of cord blood during delivery, newborns are prone to vomit frothy mucus. If a newborn aspirates amniotic fluid containing maternal blood, their stool may appear black, although meconium passage is otherwise normal. In cases of severe vomiting, newborns are susceptible to developing water and electrolyte imbalances, leading to sunken fontanelles and eye sockets; in severe cases, dehydration may occur.

In general, symptoms of neonatal swallowing syndrome include vomiting, black stools, dehydration, etc. The details are as follows:

1. Vomiting

During delivery, newborns may inhale excessive amniotic fluid or swallow large amounts of cord blood, which irritates the gastric mucosa and increases secretion of gastric acid and mucus. This often leads to vomiting of frothy mucus, with symptoms worsening after feeding.

2. Black Stools

If a newborn has inhaled amniotic fluid containing maternal blood, their stool may appear black upon excretion. However, meconium passage remains normal, without abdominal distension or abnormal bowel sounds.

3. Dehydration

Severe vomiting in newborns can easily lead to water and electrolyte imbalances, resulting in sunken fontanelles and eye sockets; in severe cases, dehydration may occur.

Besides the above symptoms, complications such as asphyxia and hypoglycemia may also develop. It is recommended to select appropriate treatment methods based on specific conditions and provide proper nursing care for the newborn.

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