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Management

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The management of grunting depends on a number of principals:

  • if there is a potentially serious reason for the grunting then the infant should be admitted to a special care baby unit and started on intravenous antibiotics after a septic screen. The particular organism feared is infection with group B streptococcus. Indicators of potential serious infection include:
    • prolonged rupture of membranes
    • known maternal infective illness
    • preterm delivery
  • if grunting occurs immediately after birth, and there is a benign cause for the grunting, and there are no serious risk factors, then the baby might be observed for an hour before admission to a special care baby unit. This applies particularly in uncomplicated caesarian deliveries, where a greater amount of lung fluid must be absorbed physiologically, or in precipitous normal vaginal deliveries.

The underlying principal is:

  • if in doubt, admit, perform a septic screen and start on antibiotic therapy

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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