Etiological profile of respiratory distress in first day of life of a newborn baby

Rao, Gavara Chinna; Rao, Marpi Surya Prasada

doi:10.18203/2349-3291.ijcp20164606

Cited by 7 publications

(10 citation statements)

References 6 publications

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“…8 ere has been a tremendous advance in the management of respiratory distress such as ventilator therapy with di erent modes such as Continuous Positive Airway Pressure (CPAP), conventional mechanical ventilation; ultra high frequency jet ventilation, liquid ventilation, surfactant replacement therapy, sophisticated monitoring and extracorporeal membrane oxygenation all have improved the outcome among the babies with respiratory distress. 9 In spite of the varying recent advance in clinching diagnosis and management there have been very less clinical studies on the neonatal respiratory distress in our country. So, the aim of the study was to nd out the risk factors and causes of respiratory distress among the admitted newborns in neonatal intensive care unit (NICU) in CMH Sylhet and to observe the hospital outcome of these babies.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Clinical Profile of Respiratory Distress in Newborn: A Hospital Based Study in Bangladesh Army

Raha¹,

Alam²,

Bhuiyan³

2021

Bangladesh Med J

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Neonatal respiratory distress (NRD) is a main cause of neonatal morbidity and mortality in developing countries. Early detection of its risk factors and early treatment of its causes are major challenges. There are many causes of respiratory distress, among them, transient tachypnea of newborn (TTN), respiratory distress syndrome (RDS) and perinatal asphyxia are commonest causes. Timely and appropriate therapy is essential to prevent ongoing injury and improve outcome. The aim of this study was to determine the risk factors and to identify the causes of respiratory distress in neonatal intensive care unit (NICU) in Combined Military hospital (CMH) Sylhet and to observe the hospital outcome of these babies. Descriptive type of cross- sectional study was conducted in CMH Sylhet over a period of one year from April 2018 to March 2019. During the study period a total of 287 live newborns were found and included as study subjects to observe for development of respiratory distress. The overall prevalence of respiratory distress was 19.2%. There was male predominance (63.6%) and more than two third (71.1%) were born by cesarean section. Prematurity (38.2%), low birth weight (52.7%), male gender (63.6%), APGAR at 1 min <7 (10.9%), caesarean delivery (76.4%), less antenatal care visit (52.7%), more than 4 pervaginal examinations 49.1%, acute fetal distress 43.6% and gestational diabetes mellitus 34.5% were the most common risk factors for development of NRD. The main causes were transient tachypnea of newborn 47.3%, respiratory distress syndrome 29.1% and perinatal asphyxia 10.9%. All babies required high flow oxygen initially, subsequently Bubble Continuous Positive Airway Pressure (CPAP) and mechanical ventilation was required in 14.5% and 1(1.8%) cases respectively. Mortality was 1.8% in neonates with respiratory distress syndrome with pneumothorax with septicaemia requiring mechanical ventilation. NRD is a frequent emergency and causes high morbidity and mortality. Risk factors like prematurity, low birth weight, male gender, APGAR at 1 min <7, caesarean delivery, less antenatal care visit, more than 4 pervaginal examinations, acute fetal distress and gestational diabetes mellitus were associated with respiratory distress in newborns. Majority of cases are due to TTN followed by respiratory distress syndrome and perinatal asphyxia. Mortality was in RDS mainly related to pneumothorax with septicaemia. Better obstetrical care and timely intervention may improve the outcome of newborn respiratory distress. Bangladesh Med J. 2019 Sep; 48 (3): 21-27

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Section: Introductionmentioning

confidence: 99%

Risk Factors and Clinical Profile of Respiratory Distress in Newborn: A Hospital Based Study in Bangladesh Army

Raha¹,

Alam²,

Bhuiyan³

2021

Bangladesh Med J

View full text Add to dashboard Cite

show abstract

“…There has been a tremendous advance in the management of respiratory distress such as ventilator therapy with different modes such as CPAP, conventional mechanical ventilation; ultra-high frequency jet ventilation, liquid ventilation, surfactant replacement therapy, sophisticated monitoring and extracorporeal membrane oxygenation all have improved the outcome among the babies with respiratory distress [6]. Nonetheless, the continued high…”

Section: Introductionmentioning

confidence: 99%

An etiological study of respiratory distress in neonates in a tertiary care medical college hospital

Harshini

Kumar

et al. 2020

Int J Pediatr Res

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Introduction: Respiratory distress is the most common cause of NICU admissions in newborns. Early diagnosis of cause of respiratory distress is important in the management of neonatal distress for better outcome. The high incidence of maternal risk factors and newborn receiving poor antenatal care continues to test the abilities of the neonatologist. Inspite of recent advance in clinching diagnosis and management there are very less clinical studies on the neonatal respiratory distress in our country. Therefore, there is a need to know the etiological factors of the babies with respiratory distress. Materials and methods: A descriptive study of 150 neonates admitted to NICU of Sri Siddhartha Medical College and Hospital with clinical features suggestive of respiratory distress. All the newborn babies who developed respiratory distress within 72 hours of life were included in the study and those who developed respiratory distress after 72 hours of life was excluded from the study. Results: The commonest cause of neonatal respiratory distress in the present study was Respiratory distress syndrome (34%), followed by Transient tachypnoea of the newborn (30%), and Meconium aspiration syndrome (22.66%). LSCS was most common mode of delivery. Conclusion: The most common causes of respiratory distress were RDS, TTNB, MAS, and birth asphyxia. Proper antenatal care and early diagnosis of the antenatal complication and avoiding preterm deliveries will aid in the better outcome of the newborns. Early detection and appropriate management are essential to ensure better outcome in all infants presenting with respiratory distress.

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“…Respiratory distress (RD) is a challenging problem and is one of the most common causes of admission in neonatal intensive care unit (NICU) [1]. Respiratory distress is reported in 13.3-88% of ill neonates [2][3][4][5][6][7]. A wide variety of pathologic lesions may be responsible for respiratory disturbances, including pulmonary, airway, cardiovascular, central nervous, infection, and other disorders [8].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Distress and Its Outcome among Neonates Admitted to Neonatal Intensive Care Unit of Mukalla Maternity and Child Hospital, Yemen

Bahwal¹,

Jawass²,

Bahartha³

2020

DJM

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Background: Respiratory distress is one of the most common causes of admission in neonatal intensive care unit . Objective: To determine the causes and to study the various risk factors associated with development of respiratory distress and outcomes of respiratory distress in neonates admitted to neonatal care unit of Mukalla Maternity and Child Hospital in Al-Mukalla city, Hadhramaut Governorate, Yemen. Patients and Methods: This is a prospective study covering the 12-month period between April 2018 to March 2019 to neonates admitted to neonatal care unit of Mukalla MaternityandChild hospital. Results: A total of 430 patients were admitted to the neonatal care unit. Number of cases presented with respiratory distress was 250, representing 58.1% of all cases admitted. The most frequent underlying cause for respiratory distress in children was respiratory distress syndrome (44%), followed by transient tachypnea of the newborn (18.8%), birth asphyxia (14%), meconium aspiration syndrome (12%), and other causes (11.2) (CHD 10(4%), sepsis (3.2%), congenital pneumonia (2.4%), and congenital anomalies (1. 6%). The majority of cases of respiratory distress syndrome and transient tachypnea of newborn were males with statistical significant difference. The outcome of neonatal respiratory disorders was: cure in 40.4% of cases, patients discharged with complications in 10.4 % of cases, and death in 49.2% of cases. The highest case fatality rate of neonatal respiratory distress diseases were respiratory distress syndrome (81.8%) followed by meconium aspiration syndrome (56.7% ) and birth asphyxia (34.3% ). Conclusion: Respiratory distress syndrome was the main cause of respiratory distress followed by transient tachypnea of newborn.

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Etiological profile of respiratory distress in first day of life of a newborn baby

Cited by 7 publications

References 6 publications

Risk Factors and Clinical Profile of Respiratory Distress in Newborn: A Hospital Based Study in Bangladesh Army

Risk Factors and Clinical Profile of Respiratory Distress in Newborn: A Hospital Based Study in Bangladesh Army

An etiological study of respiratory distress in neonates in a tertiary care medical college hospital

Respiratory Distress and Its Outcome among Neonates Admitted to Neonatal Intensive Care Unit of Mukalla Maternity and Child Hospital, Yemen

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