Study of outcome of bubble CPAP in babies with respiratory distress with respect to antenatal risk factors
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 antenatal 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 outcome of indigenous Bubble CPAP in babies with respiratory distress with respect to antenatal risk factors. Material and Methods: It’s a prospective, observational type of study conducted 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 antenatal factors evaluated and compared. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. Antenatal 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. 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
Suresh Narayan Singh, Shivprasad Mundada
Keywords
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