Final answer:
Babies with constitutional abnormalities like respiratory distress syndrome (RDS), primarily seen in premature infants, require immediate medical interventions, including intubation, ventilation, and other supportive therapies. The Apgar score aids in assessing the need for resuscitation and the infant's well-being.
Step-by-step explanation:
Management Considerations for Infants with Constitutional Abnormalities Related to Resuscitation
Management of infants born with constitutional abnormalities, such as respiratory distress syndrome (RDS), requires prompt medical intervention at the time of birth. RDS is a condition prominently seen in premature infants due to insufficient production of pulmonary surfactant, which is essential for lung inflation and efficient gas exchange. These newborns often need immediate resuscitation, which may include intubation and ventilation support if they are unable to breathe independently. The application of nasal continuous positive airway pressure (CPAP) is considered if spontaneous breathing is present.
Furthermore, the administration of exogenous surfactant has significantly reduced RDS mortality rates by 50 percent. Intervention strategies may involve the use of corticosteroids, supplemental oxygen, and assisted ventilation. Supportive care in the form of thermoregulation, nutritional support, and possibly antibiotics is also vital for these infants. The Apgar score is instrumental in identifying the need for resuscitation and monitoring the infant's response to therapy post-delivery.