Online ISSN: 2515-8260

Author : A, Dr.Asha


Respiratory Outcomes Of Preterm Neonates Admitted To A Tertiary Care Hospital

Dr. Arihant; Dr.Asha A; Dr. Harish; Dr.Santosh Kumar K

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3638-3643

Introduction:
Respiratory distress in newborns is one of the commonest reasons for admission in Neonatal Intensive Care Unit. Respiratory distress may be a transient phenomena or could also signify a serious underlying pathology like Respiratory distress syndrome, Pneumonia or Pneumothorax.Early identification and intervention prevents mortality and morbidity in most of the cases. The present study was undertaken to find out the clinical profile and outcomes of neonatesadmitted with respiratory distress in a tertiary care hospital in Sub urban parts of Chennai.
Methods: This was a retrospective study where the obstetrical and perinatal records in a hospitals obstetrics and neonatal database between 2018 and 2019 were studied after approval from the Institutional Review Committee. Convenience sampling was done. Data were collected and entered in a predesigned proforma. Data was then entered in a Statistical Package for Social Sciences for further calculations.
Place of study: Saveetha medical college hospital, a tertiary care teaching hospital in Chennai.
Results:A total of 165 preterm neonates were admitted during the study period. Among them 60 % of the neonates were female and 40 % were male neonates.The mean gestational age was 33 weeks and 5 days and mean weight was 2084 grams.Majority of the neonates were appropriate for gestational age (84%) while 5% were large for gestational age and rest were small for gestational age. Among the preterm neonates 30%(49) required ventilator support .23% required CPAP and 22% required Oxygen through hood.Among those ventilated babies 32 babies (19.3%) required one dose of surfactant while 7.9%(13babies )required two doese of surfactant.The commonest reason for respiratory distress was Respiratory distress syndrome found in 74 babies (44.8%) followed by Transient tachypena of neonate seen in 46 neonates (27.9%).The mean duration of hospital stay was 25.5 days .
Conclusions:Respiratory distress syndrome is the commonest cause of respiratory distress among preterm neonates admitted in our unit. To lessen the morbidity and mortality of the neonates with respiratory distress it is advocated that we practice proper and timely intervention like ear;y surfactant ,promote antenatal corticosteroid usage and magnesium sulphate usage, recognize the risk factors as early as possible and intervene early.