Health Condition 1: P038- Newborn affected by other specified complications of labor and delivery Health Condition 2: null- Resuscitation of Newborn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All newborn babies requiring PPV at delivery room. They will be stratified in two groups: 1. 2. >34 wks
Exclusion criteria
Exclusion criteria: Exclusion Criteria: 1. Major congenital abnormalities: anencephaly, encephalocele, meningomyelocele, ectopia vesicae, complex congenital heart disease, and gastroschesis. 2. Meconium stained amniotic fluid. 3. Evidence of chorioamniotis defined as A. Fever (temp > 37.8º C) plus two or more of the following: a. Maternal tachycardia. (> 100 beats/ min) b Fetal tachycardia .(> 160 beats/ min) c. Uterine tenderness. d. Malodorous or cloudy amniotic fluid. e. Maternal WBC count > 15,000 cells/ mm3 B. No other site of infection. 4. Refusal to obtain parental consent. 5. Gestation less than 26 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of PPV in neonates resuscitated with self-inflating bag or T-piece resuscitator.Timepoint: | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Need for intubation at delivery room. 2. APGAR scores at 5 min, 10 min . 3. Occurrence of respiratory distress during first 24 hrs. 4. Severity of respiratory distress assessed by worst Downe?s score, requirement for oxygen, CPAP and mechanical ventilation. 5. Mean and maximum FiO2, MAP requirement. 6. Duration of primary ventilation. 7. Need for surfactant. Timepoint: | — |
Countries
India
Contacts
NIL