Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital

Introduction: Respiratory distress in newborns is a very common reason for admission in Neonatal Intensive Care Unit which may be transient or pathological; morbidity is high if not prompted for early diagnosis and treatment. The present study is undertaken to find out the clinical profile of neona...

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Main Authors: Anita Lamichhane, Kiran Panthee, Sharmila Gurung
Format: Article
Language:English
Published: Nepal Medical Association 2019-12-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:http://www.jnma.com.np/jnma/index.php/jnma/article/view/4770
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spelling doaj-9b1a85cc15ae488598bca69c63b71aa22020-11-25T01:49:11ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2019-12-015722010.31729/jnma.4770Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care HospitalAnita Lamichhane0Kiran Panthee1Sharmila Gurung2Department of Pediatrics, Lumbini Medical College, Pravas, Palpa, NepalDepartment of Pediatrics, Devdaha Medical College, Bhaluhi, Rupandehi, NepalDepartment of Forensic Medicine, Devdaha Medical College, Bhaluhi, Rupandehi, Nepal Introduction: Respiratory distress in newborns is a very common reason for admission in Neonatal Intensive Care Unit which may be transient or pathological; morbidity is high if not prompted for early diagnosis and treatment. The present study is undertaken to find out the clinical profile of neonates with respiratory distress in infants in a tertiary care hospital in western Nepal. Methods: A descriptive cross-sectional study was carried out in a tertiary care hospital in the western region of Nepal from April 2017 to March 2018 after approval from the institutional review committee. Sample size was calculated and consecutive sampling was done to reach the sample size. Data were collected from the study population after taking consent and entered in a predesigned proforma. It was then entered in a Statistical Package for Social Sciences, data analysis was done to find frequency and proportion for binary data. Results: Tachypnea was the most common presentation 77 (69.36%). Out of 1694 live deliveries during the study period, the prevalence of respiratory distress was 6.55 % in the total live deliveries while 30.83 % in admitted cases in Neonatal Intensive Care Unit. Survival rate was 95.50% while mortality rate accounted for 4.50%. Conclusions: Perinatal asphyxia accounted for the commonest cause of respiratory distress. To lessen the morbidity and mortality of the neonates with respiratory distress it is advocated that we practice proper and timely neonatal resuscitation, recognize the risk factors as early as possible so that perinatal asphyxia can be minimized.       http://www.jnma.com.np/jnma/index.php/jnma/article/view/4770neonatal intensive care unit; neonates; respiratory distress.
collection DOAJ
language English
format Article
sources DOAJ
author Anita Lamichhane
Kiran Panthee
Sharmila Gurung
spellingShingle Anita Lamichhane
Kiran Panthee
Sharmila Gurung
Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
Journal of Nepal Medical Association
neonatal intensive care unit; neonates; respiratory distress.
author_facet Anita Lamichhane
Kiran Panthee
Sharmila Gurung
author_sort Anita Lamichhane
title Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
title_short Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
title_full Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
title_fullStr Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
title_full_unstemmed Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital
title_sort clinical profile of neonates with respiratory distress in a tertiary care hospital
publisher Nepal Medical Association
series Journal of Nepal Medical Association
issn 0028-2715
1815-672X
publishDate 2019-12-01
description Introduction: Respiratory distress in newborns is a very common reason for admission in Neonatal Intensive Care Unit which may be transient or pathological; morbidity is high if not prompted for early diagnosis and treatment. The present study is undertaken to find out the clinical profile of neonates with respiratory distress in infants in a tertiary care hospital in western Nepal. Methods: A descriptive cross-sectional study was carried out in a tertiary care hospital in the western region of Nepal from April 2017 to March 2018 after approval from the institutional review committee. Sample size was calculated and consecutive sampling was done to reach the sample size. Data were collected from the study population after taking consent and entered in a predesigned proforma. It was then entered in a Statistical Package for Social Sciences, data analysis was done to find frequency and proportion for binary data. Results: Tachypnea was the most common presentation 77 (69.36%). Out of 1694 live deliveries during the study period, the prevalence of respiratory distress was 6.55 % in the total live deliveries while 30.83 % in admitted cases in Neonatal Intensive Care Unit. Survival rate was 95.50% while mortality rate accounted for 4.50%. Conclusions: Perinatal asphyxia accounted for the commonest cause of respiratory distress. To lessen the morbidity and mortality of the neonates with respiratory distress it is advocated that we practice proper and timely neonatal resuscitation, recognize the risk factors as early as possible so that perinatal asphyxia can be minimized.      
topic neonatal intensive care unit; neonates; respiratory distress.
url http://www.jnma.com.np/jnma/index.php/jnma/article/view/4770
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