What initial position can help improve respiratory distress associated with the Robin sequence?

The prone position can be particularly beneficial for infants experiencing respiratory distress associated with Robin sequence. In this condition, the anatomy of the airway can be compromised, often leading to obstruction or difficulty in breathing. By placing the infant in the prone position, gravity helps to maintain the airway's patency, as the tongue tends to fall forward and away from the airway, reducing the risk of obstruction.

Additionally, the prone position can enhance lung expansion, allowing for better ventilation, which is crucial during episodes of respiratory distress. It also promotes comfort and can reduce the likelihood of reflux, which can further inhibit effective breathing.

In contrast, other positions like supine can increase the risk of airway obstruction due to the anatomical challenges posed by Robin sequence. The lateral position may not offer the same airway benefits as prone positioning, and a sitting position is often not feasible for newborn infants. Therefore, the prone position is preferred to help manage respiratory distress in this context.