Fluid restriction in term neonates with moderate to severe perinatal asphyxia: A randomised controlled trial
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2018, Vol 5, Issue 8
Abstract
Introduction: Management of newborns who suffer perinatal asphyxia is primarily based on supportive management, of which fluid and electrolyte management plays a very important role. We studied the role of restriction of fluids in the first 72 h in term neonates suffering from moderate to severe perinatal asphyxia. Methods: Term newborns with moderate to severe perinatal asphyxia were randomised to receive full or restricted fluids (25 newborns each) during the first 72 h of life. The primary outcome measures were mortality and neurological status at discharge. Results: Mortality among the full (FF) and restricted fluid (RF) groups was not significantly different, 4 in the FF group and 3 in the RF group with a relative risk (RR) of 1.52 [confidence interval (CI) 0.38-6.04]. The neurological status at discharge was also comparable in both the groups with RR (CI) 0.61 (0.22-1.7). Conclusion: Routine restriction of fluids in term neonates with moderate to severe perinatal asphyxia does not have any advantage.
Authors and Affiliations
Vasudha Tomar, Ruchi Rai, D. K. Singh
Keywords
Related Articles
- EP ID EP408704
- DOI 10.17511/ijpr.2018.8.06.
- Views 148
- Downloads 0
Feeding practices and problems in breastfeeding in the first postnatal week in late preterm infants
Background and objective: Breastfeeding problems exist despite advice and counseling. Problems are more in late preterm babies compared to term. Problems in feeding start in early postnatal life which continues later. Th...
Classical vitamin K deficiency bleeding in newborn with mother on antitubercular drugs
Early vitamin K deficiency bleeding in neonate born to a mother on antitubercular drugs is a known entity .We report a case of a full term, small for gestation age baby born per vaginally to a mother on antitubercular dr...
Determinants of thyroid function in neonates at birth
Introduction: Thyroid function test is commonly done in neonatal period to evaluate thyroid status. Interpretation of T4 and Thyroid stimulating hormone (TSH) values in the immediate post natal period is difficult due to...
Study of use of fluid regulator in the fluid management of dengue fever in children in a rural tertiary care hospital
Background: Dengue is the most rapidly spreading mosquito borne viral disease in the world. In the last 50 years incidence has increased 30 folds with increasing geographical expansion to new countries and into present d...
To study the effectiveness of indigenous bubble CPAP in management of respiratory distress in newborns
Background: CPAP has become a useful in management of respiratory distress, especially in preterms. CPAP delivers a continuous distending pressure via the neonates pharynx to the upper and lower airways. The main indicat...