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Year :2013
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Month :
April
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Volume :
1
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Issue :
1
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Page :
2 - 4
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A Clinical Study of Respiratory Distress In Newborn and its Outcome
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Correspondence Address :
Santosh S, Kushal kumar K, Adarsha Eay,
Dr. Santosh S,
Associate Professor, Department of Paediatrics,
MVJ Medical College, Bangalore, India.
Phone: 09886241720
Email: varsha_saniha@yahoo.com
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Introduction: Respiratory distress in neonates is one of the important clinical manifestations of a variety of disorders of the respiratory system and non respiratory disorders. It has been estimated that 40-50% of all the perinatal deaths occur following respiratory distress. Aims and Objectives: 1. To estimate the proportion of respiratory distress in the newborn period. 2. To know the etiological factors of respiratory distress. 3. To study the morbidity and mortality of respiratory distress in nicu. Materials and Methods: All newborn babies admitted to kims hospital nicu during a period of 1 year from april 2002 to march 2003 who developed respiratory distress were studied. These admissions comprised of neonates delivered in our hospital (in-borns) as well as those neonates who were refered to our nicu from other hospitals and delivery centers (out-borns). Results: The present study is descriptive in nature where clinical spectrum of respiratory distress in neonates and its outcome were studied. 553 Neonates were admitted in NICU during the study period, among them 76(13.7%) Developed respiratory distress. In the overall study 92.2% Survived with 6 deaths. 4 Deaths were due to preterm with RDS, 1 due to preterm with BA with RDS and 1 due to BA with RDS and sepsis. Most of the deaths were due to RDS (83%). Conclusion: Transient tachypnoea was the main cause of respiratory distress followed by RDS. In most of the cases X-ray findings correlated with the clinical picture. ABG was found normal in most of the cases. RDS was the main cause for ventilation.
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