Often, the placing of the newborn in prone position (face down) it sufficiently ensures better breathing. The newborn should not be placed and remain in supine position when he/she is not under supervision. Most of the times, the symptoms often improve within a few days or weeks. TREATMENT - CONSERVATIVE TREATMENT SUPPORTĪll the effort is focused on the support of the respiratory function. The follow-up of the newborn must be continuous, especially in the initial stages, because although he/she seems to breathe and be oxygenated sufficiently when he/she is tired or when he/she sleeps signs of respiratory obstruction may appear. A careful follow-up of his/her respiratory function and adequate oxygenation is required.īecause of the small jaw and of respiratory distress, feeding difficulty may occur as well. The respiratory distress may be evident only when the newborn has been tired from the effort to breathe, usually in supine position and this can endanger the life of the newborn. Breathing difficulties (respiratory problems such as respiratory distress or/and respiratory obstruction).The main symptoms of Pierre Robin sequence are the following: The diagnosis of PRS is made only with the clinical examination of the newborn. HOW IS PIERRE ROBIN SEQUENCE (PRS) DIAGNOSED? The lower jaw in turn prevents the tongue of going down in time from the high position that is held in the mouth of the fetus to leave space at the side portions of the palate to develop in the midline and join, resulting to a cleft palate. Robin Pierre sequence is a rather uncommon abnormality (it happens once in 8,500 to 14,000 births) and in some cases it may be a part of other syndromes such as Treacher Collins, Stickler, Velocardiofacial syndrome, etc.The root causes are not known, but it is considered that the mechanical factors that limit the fetus might be responsible for the small size of the lower jaw (micrognathia). They have small lower jaw (micrognathia) and usually cleft palate (in these cases, this typically results in a horseshoe or U-shaped cleft palate). The appearance of newborns with Pierre Robin sequence is typical.
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