A study of clinical profile of respiratory distress syndrome(RDS) in preterm babies
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Objective: Study of clinical profile of Respiratory Distress Syndrome in preterm babies. Design: Prospective observational study. Settings: Neonatal Intensive Care unit at tertiary care hospital. Outcome measures: To study role of antenatal steroid, surfactant and assisted ventilation in RDS and outcome in terms of morbidity and mortality in preterms with RDS. Results: 150 neonates with gestational age <37wk with diagnosed as RDS as per clinical investigational guidelines were included.97.3% babies received antenatal steroid while 2.7% did not. Out of the babies who received antenatal steroid 80% survived and 20% died. All (100%) who did not receive antenatal steroid died. Out of them 57.3% received surfactant and 42.7% did not receive. Out of babies who received surfactant 88% survived 12% died. Out of babies who did not receive surfactant 64% survived 36% died. All babies (100%) receiving only CPAP (SA score <4) survived. Out of babies receiving both CPAP and surfactant (SA score 4–7) 98.6% survived and 1.4% died. All babies receiving only assisted ventilation for >10 days died. Morbidity in RDS was sepsis 14.66%, PDA 14%, NEC 8.66% and pulmonary hemorrhage 5.33%. At the end of study 118 (78.66%) babies survived while 32(21.33%) died. Conclusion: We conclude that administration of antenatal steroids in pregnant women during preterm delivery significantly improves lung maturity. CPAP was safe and effective treatment modality. Early institution of CPAP reduced need of ventilation. Early use of surfactant improved the survival and shortened duration of assisted ventilation.
Authors and Affiliations
Sambhaji S Wagh, Deepa S Phirke, Sudhakar Bantewad
Keywords
Related Articles
- EP ID EP495117
- DOI -
- Views 65
- Downloads 0
Evaluation of Cardiovascular Risk Factors in Psoriasis Patients
Background and Objective: Psoriasis is a common chronic and recurrent inflammatory skin disorder that has been associated with oxidative stress, abnormal plasma lipid metabolism and with high frequency of cardiovascular...
A study of congenital cardiac and extracardiac vascular anomalies in paediatric patients as detected by MDCT
Background:Clear understanding of anatomy is needed to plan effective management of congenital heart disease. MDCT provides an excellent means to detect a number of extracardiac vascular anomalies and allows accurate and...
Significance of cerebral and umbilical artery doppler velocimetry in normal and growth restricted pregnancy
Background: Doppler velocimetry is a rapid non invasive test that provides valuable information about hemodynamic situation of the fetus and is an efficient diagnostic test of fetal jeopardy which helps in timely interve...
Assessment of Perception of New Entrant MBBS Students about Anatomy as a Medical Subject
The corpus of knowledge in the subject of anatomy forms the basis of future clinical courses and specialities. Therefore, it is unimaginable to make a good and sound medical professional without adequate mastery of Anato...
Effect of rehablitation on muscle imbalance in upper cross syndrome
Aims and Objective: To assess the effect of exercise, stretching and postural correction on neck Imbalance and To assess the effect of exercise, stretching and postural correction on forward head posture Design: Experime...