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Evaluation of Trends in Respiratory Support for Very Low Birth Weight Infants: A Population Based Study


Article Information

Title: Evaluation of Trends in Respiratory Support for Very Low Birth Weight Infants: A Population Based Study

Authors: Shamayal Mandokhel, Hina Ihsan, Sumaira Tahseen

Journal: Pakistan Journal of Medical and Health Sciences

HEC Recognition History
Category From To
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30
Y 2020-07-01 2021-06-30

Publisher: Lahore Medical and Dental College, Lahore PVT LTD

Country: Pakistan

Year: 2022

Volume: 16

Issue: 5

Language: en

DOI: 10.53350/pjmhs22165343

Keywords: Low birth weightRespiratory DistressQuality of lifeMortalities

Categories

Abstract

Objective: To evaluate the trends in respiratory support for very low birth weight infants.
Study Design: Cohort study
Place and Duration of Study: Department of Paediatric Medicine Unit-2, Balochistan Institute of Child Health Services Quetta from 1st January 2021 to 31st December 2021.
Methodology: Five hundred participants were enrolled. Data regarding maternal clinical history, neonatal clinical data using standardized and was recorded on a well structures questionnaire. Risk of bronchopulmonary dysplasia was considered as in those with discharge at 34-35 weeks without supplementation of oxygen required. Nitric oxide inhalation more than 4 hours’ addictive or contiguous was considered as treatment. Non intubated ventilation greater than four hours, continuous positive airway pressure through nose was delivered as respiratory support.
Results: There were 74.7% male infants without bronchopulmonary dysplasia while 74.1% female infants were having bronchopulmonary dysplasia. The gestational age as mean in no bronchopulmonary dysplasia infants was 28±2.1 while it was 26±2.2 in bronchopulmonary dysplasia infants The mean birth weight was 1187±253 grams in without bronchopulmonary dysplasia infants whereas it was 891±246 grams in bronchopulmonary dysplasia infants. One and five minutes Apgar scoring increased in without bronchopulmonary dysplasia infants.
Conclusion: Health improvement initiative programs and modern interventions should be formulated that highlights the use of non-invasive ventilation options to increase the quality of life and well-being of preterm neonates.


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