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The objective of this study was to determine if ultrasonographic fetal lung echotexture analysis can predict respiratory distress syndrome (RDS) and transient tachypnea of the newborn (TTN). This prospective cohort study included 370 singleton gestations that delivered from 34 and 0 to 38 and 6\u2009weeks of gestation. Combined RDS or TTN occurred in 16.8% of neonates. 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