Table 1 Risk Factors for Persistent Pulmonary Hypertension of the Newborn.
Maternal | • Race (Black, Asian) • Obesity • Asthma • Chorioamnionitis • Gestational diabetes | • Drugs: NSAIDs, tobacco, SSRI • Advanced maternal age • Gestational Hypertension • Pre-eclampsia |
Fetal | • Fetal anemia (hemolytic, congenital) • Fetal growth restriction • Oligohydramnios • Prolonged rupture of membranes | • Restrictive lung growth disease • Congenital diaphragmatic hernia • Neuromuscular disorder |
Postnatal | • Large-for-gestational age • Prematurity • Post-term ( > 41 weeks) • C-section • Male • Perinatal asphyxia • Meconium aspiration • Respiratory distress syndrome • Trisomy 21 • TBX4 | • Left to right shunt • Left heart failure • Left-sided obstructive lesions • Surfactant protein deficiencies • Alveolar capillary dysplasia • Structural airway disease • Flow-mediated (vein of Galen malformation, coronary artery fistula) |