Prematurity Related Lung Disease

What is Bronchopulmonary Dysplasia or Prematurity related lung disease?
Prematurity related lung disease is called “Bronchopulmonary Dysplasia (BPD)”. Previously it was also known as “chronic lung disease of infancy”. It usually occurs in babies who were born premature (before the expected date), usually more than 10 weeks before their due date of delivery.

Which premature babies are more prone to have Bronchopulmonary Dysplasia (BPD)?
It is more common in babies who have got less surfactant, required mechanical ventilation, prolonged oxygen, etc.

What are the changes in the lungs in children with Bronchopulmonary Dysplasia (BPD)?
Lungs of children with Bronchopulmonary Dysplasia (BPD) get injured due to inflammation and scarring.

How should children with Bronchopulmonary Dysplasia (BPD) be followed after discharge?

Good follow up is required with a pediatric pulmonologist. Regular assessment of growth, oxygen levels, respiratory rates are required.

What other problems can occur in children with Bronchopulmonary Dysplasia (BPD)?
Children with BPD can also have gastro-esophageal reflux, aspirations, tracheomalacia (windpipe which is more collapsible) and pulmonary artery hypertension. These should be carefully evaluated to keep these children in good health.

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