During the first 24 hours, what risk can lead to respiratory distress in a newborn?

The risk of respiratory distress in a newborn during the first 24 hours can be attributed to compression of the trachea due to hemorrhage. When a newborn experiences hemorrhage, particularly in the area surrounding the neck or thorax, there can be swelling or accumulation of blood that exerts pressure on the trachea. This compression can obstruct normal airflow, leading to respiratory distress.

Immediate airway obstruction in a newborn is critical because their respiratory systems are still developing and are highly sensitive to any disturbances. The trachea is a vital passage for air, and any interruption, especially due to external factors such as swelling from hemorrhage, can drastically impair their ability to breathe effectively.

Other potential risks, such as compression of the diaphragm or exposure to extreme temperatures, may pose challenges, but they typically do not lead to acute respiratory distress as directly as tracheal compression from hemorrhagic events.