Title: Profile of Newborn with Respiratory Distress Syndrome and Outcome in Extramural Deliveries
Authors: Saheli Misra Chatterjee, Nirmay Biswas, Subroto Chakrabarty
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.156
Abstract
Objective: To assess the outcome of newborn with respiratory distress syndrome (RDS) in extramural deliveries treated with bubble CPAP and look for risk factors for poor prognosis. On the basis of our findings we wanted to highlight the cost effectiveness of having bubble CPAP in peripheral centres.
Methods: This was a prospective analysis study in infants of extramural deliveries admitted to our NICU with respiratory distress. :Fisher and Paykel bubble CPAP was applied to all the newborn presenting with respiratory distress since birth, Downe’s score =6 and chest Xray shows features of RDS
Results: 48 neonates enrolled for the study for the study. On the basis of their arrival time at our unit, neonates were divided in to 2 groups on the basis of early (<12hours) or late(>12hours) initiation of treatment. The criteria for weaning was absence of respiratory distress (minimal or no retractions and respiratory rate <30 and 60 per minute) and SpO2>90% on FiO2 <30% and PEEP <5 cm of water.
Conclusions: Infants that were on bubble CPAP within 12 hours of delivery fared significantly better with improvement in Down’s score and required shorter period of oxygen exposure.
Keywords: respiratory distress syndrome, preterm, outcome, CPAP, extramural deliveries.
