Elective Cesarean Section during Preterm Prevents Pulmonary Hypoplasia Development in Potter Sequence

Figure 2

Clinical course from birth to discharge. The patient was extubated at 18 days of age and was reintubated at 24 days of age due to CHF-caused poor water removal. After water removal by PD became stable, she was extubated at 36 days of age and respiratory support was performed by HFNC. Elemental diet (ELENTAL® P) was also used in addition to breast milk and low potassium medium phosphorus formula, but enteral nutrition did not progress, so an ED tube was inserted at 53 days of age. Nutrition gradually increased and was aided by the high-protein digestive nutritional supplement (PEPTAMEN STANDARD®). After removing the ED tube, nutrition encompassed breast milk and later switched to the low potassium medium phosphorus formula. The preparation concentration of low potassium medium phosphorus formula gradually increased from 15% to 18%. During the course, complications such as CRBSI, septic shock, and convulsion occurred but were controlled by treatment. BW, body weight; PD, peritoneal dialysis; CHF, congestive heart failure; CRBSI, catheter-related blood stream infection; HFNC, high-flow nasal canula; ED, elemental diet; CHD, continuous hemodialysis.