![]() ![]() ![]() In these cases, your baby may need surgical treatment, such as jawĭistraction or, rarely, a tracheostomy. Occasionally breathing problems persist, or the airway obstruction becomes severe and life threatening. The majority of babies with PRS outgrow the breathing problems within three to six months as their airway grows. Sometimes, assistance to keep the airway clear is required. This involves the insertion of a tube known as a nasopharyngeal ( nay-so-faran-jeel) tube. heart rate) and ongoing breathing assessments Your baby may need to stay in hospital for observation and treatment, including: The treatment will depend on the level of breathing and feeding difficulties. lying flat on their back), or when feeding or crying. ![]() The breathing problems may be better or worse at different times, and may be worse when your baby is in certain positions However, for most babies, no other problems are found.ĭifficulty breathing can occur after birth because the small and recessed jaw makes the tongue sit further towards the back of the throat, narrowing or blocking the airway. Some babies have a family history of PRS or similar problems, although most don't.īabies with PRS are screened for other possible problems such as eye, kidney, bone and occasionally heart conditions. Why the jaw is small in the first place is not known, but it may be genetic. It is thought to start as a small jaw, which causes the tongue to stop the roof of the mouth (palate) closing during normal development. The cause of PRS is still not fully understood. Please note: if your baby has a cleft of the palate (irrespective of whether they have a small jaw) you should contact your local Cleft Service as soon as possible as they will be able to link you in to all the services your child requires. If your baby has a small jaw, and/or a cleft palate, feeding issues or difficulty gaining weight, it is important they are investigated by your GP and referred on to a paediatrician if appropriate. When to see a doctorīecause PRS is quite rare, it is sometimes not diagnosed at birth – especially if there do not appear to be immediate breathing problems. If your baby does not receive the appropriate medical treatment, they may have ongoing problems with nutrition and weight gain, or they may stop breathing. reflux (milk coming back up) from the nose and mouth.coughing, choking or arching the back when feeding.they take a long time to feed, get tired easily and don't take all the milk.You might notice some of the following signs in your baby: If you see any of these signs of breathing difficulty, call an ambulance immediately.Ĭhildren with PRS can have poor weight gain due to the cleft palate causing feeding problems, but also because their breathing problems become harder to manage when they try to breathe and feed simultaneously. Their breathing may be noisy (especially when breathing in).A grey or blue colour appears around their lips, even if your baby is still breathing.Their chest appears to be sucking in with each breath.Your baby may appear to be working hard to take breaths and look worn out and tired with breathing.These may show in one or more of the following ways: Your baby may have a small jaw and cleft palate, along with breathing difficulties, which can be present from birth. Your child's doctor will discuss this with you. The breathing problems start either from or shortly after birth and are often also associated with feeding difficulties and problems gaining weight.Ībout a third of PRS cases occur as part of another syndrome, which may have other features. Pierre Robin ( Pee-air Roe-bahn) sequence, also called Pierre Robin syndrome, or PRS, is a condition where babies are born with a small lower jaw, have difficulties breathing (airway obstruction) and often (but not always) have a cleft of the palate (an opening in the roof of the mouth). ![]()
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