AFP: American Family Physician Podcast Episode 245 -- January 2026 -- Part 1 AFP: American Family Physician
Jan 15, 2026
Delve into the safety and effectiveness of vonoprazan compared to lansoprazole. Discover key insights on managing newborn respiratory distress and common issues like transient tachypnea and meconium aspiration. Learn about the latest immunization schedule changes, including COVID and RSV updates. Explore the role of calcium supplementation during pregnancy and its limited benefits. Finally, uncover advancements in DNA-based blood tests for colorectal cancer screening.
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TTN After Elective Cesarean
- Transient tachypnea of the newborn (TTN) commonly follows elective C-section and presents 2–6 hours after birth.
- Management is supportive since interventions like albuterol or furosemide show no clear benefit.
Meconium Aspiration Management
- Meconium aspiration causes obstruction, inflammation, and surfactant inactivation and is more common in near–postterm infants.
- Routine endotracheal suctioning is no longer recommended due to lack of benefit and potential harm.
Preterm RDS Features And Prevention
- Respiratory distress syndrome (RDS) usually affects preterm infants due to surfactant deficiency and worsens over 48 hours.
- Maternal corticosteroids before preterm delivery (24–36+6 weeks) reduce RDS risk and surfactant and supportive ventilation treat RDS.