OUTCOMES OF BABIES ON BUBBLE CPAP ADMITTED IN SNCU (LEVEL II) AT ACSR GMC, NELLORE, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 5
Abstract
BACKGROUND India contributes to one-fifth of the global live births and of the 25 million babies born in India every year 1 million die. India alone contributes to 25% of neonatal mortality around the world. The aim of the study is to assess the morbidity profile of babies admitted in SNCU requiring Bubble CPAP and their outcomes on Bubble CPAP in terms of complications, duration of BCPAP, discharges and deaths on BCPAP. MATERIALS AND METHODS 50 neonates were on CPAP during the study period. All data were collected from recorded case sheets as inborn or outborn admissions, sex, gestational age, weight for gestation, referral centre, age at presentation, indications for BCPAP, duration of BCPAP, complications encountered and outcome of these babies on BCPAP. Study Design- It is a prospective observational study observed during July 2016 to Dec 2016 (6 months). RESULTS Of the 50 babies on BCPAP, males were 50% and females were 50%. Most of the babies on BCPAP in SNCU were preterm 32 (64%) than term 18 (36%). As per birth weight, most of the admitted babies were between 1500 - 2500 gms (82%). In terms of morbidity, most of the babies on BCPAP were due to RDS/ HMD 28 (56%) followed by Birth Asphyxia 7 (14%), MAS/ Pneumonia 4 (8%), Sepsis 4 (8%), Apnoeas 3 (6%), CHD 2 (4%) and other causes 2 (4%). Outcomes- Out of 50 babies on BCPAP 10 babies (20%) got discharged, LAMA 12 (24%), referral to higher centre for advanced ventilation 3 (6%) and deaths were 25 (50%). The major morbidity for mortality was due to RDS/ HMD 13 (52%) followed by Birth Asphyxia 5 (20%), Pneumonia 1 (4%), Sepsis 2 (8%), Apnoeas (8%) and Others 1 (4%). CONCLUSION Available evidence from observational studies suggests that CPAP is a safe and effective mode of therapy in preterm neonates with respiratory distress in resource poor countries. It reduces the in-hospital mortality and the need for ventilation, thereby minimising the need for up-transfer to a referral hospital. But in spite of this evidence the mortality of babies on CPAP in our SNCU is still high and this signifies more training of manpower, critical monitoring of babies on CPAP and need for surfactant for better outcomes of the babies on BCPAP.
Authors and Affiliations
Menni Chowdary Babu, Lakshmi Prasanna C, Satya Prakash P
Keywords
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- EP ID EP368787
- DOI 10.14260/jemds/2018/140
- Views 87
- Downloads 0
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