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 95
- Downloads 0
Prospective analysis of functional outcome of bicondylar tibial plateau fractures treated by fixation with locking compression plates
Introduction: High energy tibial plateau fractures (Schatzker type V, VI) are associated with severe soft tissue injury and this complicates the treatment of this injuries. Surgical approach depends upon the site of soft...
A Study of Maternal and Perinatal Outcome in Preeclampsia
Aim: To study the maternal and fetal outcome in preeclampsia. Background: In Modern Obstetric, the prevalence pf preeclampsia and its complication is high so we decided to study the maternal and fetal outcome in patients...
Stroke due to Varicella Zoster Virus Vasulopathy: A Case Report
Stroke is a common cause of mortality and morbidity worldwide. Apart from established risk factors, viral infections have also emerged as risk factors for stroke. VZV is the only virus that has been shown to directly inv...
Obesity, inflammatory markers, total sialic acid, C - reactive protein (CRP).
Problem Statement: Thyroid gland is one of the parts of our body which is constantly active metabolically and is one of the most responsive organs of the body. The thyroid gland turns out to be the endocrine organ in whi...
Conservative Management of Dizygotic Twin Pregnancy with Intra-Uterine Demise of One Foetus: A Case Report
We are presenting a case of dizygotic twin pregnancy with intra uterine demise of one foetus at 30 weeks of gestation. After evaluation and administration of steroids, conservative management was done with bi-weekly NST,...