Pronounced: Brong-ko-PUL-mo-ner-ee Dis-PLAY-se-ah
Bronchopulmonary dysplasia (BPD) is abnormal development of the lungs in infants. It is considered a chronic lung disease. BPD can make it difficult for the infant to breathe. The condition usually develops in the first four weeks after birth.
BPD occurs most often in infants that were born early with immature lungs. Most babies who get BPD recover. However, this is a serious condition that needs care from your doctor.
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The exact cause of BPD is unknown. It is most often associated with complication of early lung disease or their treatments. These conditions or treatments can cause irritation and swelling of lungs and airways. This can lead to BPD.
Factors that increase your infant’s risk of developing BPD include:
These symptoms are common with RDS. However, they may be caused by a number of health conditions. If your infant has any of these symptoms call your doctor.
Your doctor will review your infant’s medical history. A physical exam will be done. Your doctor may do the following tests:
There is no specific treatment for BPD. The main focus is to treat any symptoms. If needed, treatment may include support for your infant's breathing. This will help the infant get strong and allow the lungs to mature.
Your infant will most likely be treated in a hospital. He or she may need to stay in the hospital for an extended period of time. Talk with your doctor about the best treatment plan for your infant. Treatment options include the following:
A breathing machine is used to move air in and out of lungs. It can support your infant's breathing until they are stronger and can breathe well enough on their own.
Oxygen may be delivered through a mask or nasal tube. It may be done by itself or after the ventilator is no longer needed. This treatment could continue for weeks or even months. Your infant may still need oxygen after coming home from the hospital.
Your doctors will choose a medicine based on your infant's needs. They may include:
Lung problems can make feeding difficult. Nutrition therapy can help the infant get stronger and healthier. It may include:
Early intervention therapy may include several types of therapy. They will help improve your infant's development. It may include special exercises to improve muscle strength and clear mucus from the lungs.
If your infant is diagnosed with BPD, follow your doctor's instructions .
There are no set guidelines for preventing BPD. However, there are some things you can do to decrease the risk of a premature birth and ensure you will give birth to a healthy infant such as:
American Lung Association
American Academy of Pediatrics
The Canadian Lung Association
American Lung Association. Bronchopulmonary dysplasia. American Lung Association website. Available at: http://www.lung.org/lung-disease/bronchopulmonary-dysplasia/ . Accessed July 18, 2012.
Bancalari E, Claure N: Definitions and diagnostic criteria for bronchopulmonary dysplasia. Semin Perinatol 2006;30:164-70.
Baveja R, Christou H: Pharmacological strategies in the prevention and management of bronchopulmonary dysplasia. Semin Perinatol . 2006;30:209-18.
DynaMed Editorial Team. Bronchopulmonary dysplasia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 13, 2012. Accessed July 18, 2012.
DynaMed Editorial Team. Respiratory distress syndrome (RDS) of the newborn . EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 21, 2012. Accessed July 18, 2012.
Short EJ, Kirchner HL, Asaad GR, et al. Developmental sequelae in preterm infants having a diagnosis of bronchopulmonary dysplasia: analysis using a severity-based classification system. Arch Ped adolesc Med . 2007;16:1082-7.
Last reviewed September 2012 by Michael Woods
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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