• After term Cesarean Delivery without prior labor -Most common
• Usually is noted in larger premature • Diabetic mother • Infants with poor respiratory drive as a result of placental passage of analgesic drugs are also risk factor • Family history of asthma Clinical Manifestations • Transient tachypnea of the newborn is a self limited condition • It is characterized by the early onset of Tachypnea , sometimes with retractions or (mild retraction) , Nasal flaring , Hypoxia and Occasional Grunting (usually expiratory), usually without sign of severe respiratory Distress , • Cyanosis (But relived by o2 supplementation) • Chest generally sounds clear without crackles or wheeze • Hypercapnia and acidosis are uncommon • Nelson Pediatrics, 20th