Health Condition 1: P240- Meconium aspiration Health Condition 2: null- Newborns with persistent pulmonary hypertension secondary to meconium aspiration syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Gestational age at delivery > 34 weeks (newborns) Babies admitted with meconium stained amniotic fluid or staining of umbilical cord, nails or skin. All newborns with MAS diagnosed with PPHN admitted within 12 hours of delivery.
Exclusion criteria
Exclusion criteria: Babies with congenital anomalies incompatible to life and congenital heart disease. Respiratory morbidities like hyaline membrane disease, congenital pneumonia Babies with PPHN secondary to MAS admitted after 12 hours of delivery Babies deteriorating after 2 doses of Sildenafil requiring magnesium sulphate or alkalinisation (pH >7.5)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in preductal and postductal SpO2 and oxygenation index Timepoint: 2 hours after each dose of Sildenafil | — |
Secondary
| Measure | Time frame |
|---|---|
| Morbidity and mortality of patients given oral SildenafilTimepoint: At time of discharge or expiry. | — |
Countries
India
Contacts
Government Medical College, Bhavnagar