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The diaphragm, a dome-shaped muscle at the bottom of the lungs, controls breathing and separates the chest cavity from the abdominal cavity, the American Lung Association noted. When a breath it taken, it flattens out and pulls forward, making more space for the lungs. During exhalation, the diaphragm expands and forces air out.

When a baby is born, it must convert from getting all of its oxygen through the placenta to absorbing oxygen through its lungs. This is a complicated process, involving many changes in both air and blood pressures in the baby's lungs. For a baby born preterm (before 37 weeks gestation), the change is even harder. This is because the baby's lungs may not yet be mature enough to cope with the transition.

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Red blood cells collect the oxygen from the lungs and carry it to the parts of the body where it is needed, according to the American Lung Association. During the process, the red blood cells collect the carbon dioxide and transport it back to the lungs, where it leaves the body when we exhale.

The major problem with a preterm baby's lungs is a lack of something called 'surfactant'. This is a substance produced by cells in the lungs which helps keep the air sacs, or alveoli, open. Without surfactant, the pressures in the lungs change and the smaller alveoli collapse.

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