Maternal and foetal risk factors predicting outcome of bubble CPAP in babies with respiratory distress
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 4, Issue 2
Abstract
Background: Respiratory distress is most common and serious complication in relation with various maternal and foetal risk factors, which together account for over one-half of all neonatal deaths globally. The respiratory support during distress is provided to neonates using either mechanical ventilation or Continuous Positive Airway Pressure (CPAP). Aim and Objectives: To study the maternal and foetal risk factors predicting outcome of Bubble CPAP in babies with respiratory distress Material and Methods: It’s a prospective, observational type of study carried out on the babies requiring BCPAP at the time or during the hospital stay over a period of 2 years. The final outcome in terms of success and failure of BCPAP with regard to various maternal and foetal risk factors evaluated and compared. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. Maternal risk factors like antepartum hemorrahge, multiple gestation, prior preterm birth, premature rupture of membrane were associated were poor outcome while, pregnancy induced hypertension has relatively better outcome. Foetal risk factors like gender, gestational age and birth weight of newborn are associated with outcome of BCPAP. Summary and conclusions: BCPAP is increasingly used as a first choice for ventilator support in tertiary centres. It reduces morbidity and mortality, as well as the need for mechanical ventilation. It can be administered by trained nurses and is safer than mechanical ventilation.
Authors and Affiliations
Shakira Savaskar, Suresh Narayan Singh
Keywords
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