Health Condition 1: P84- Other problems with newborn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Preterm neonates with birth weight less than 800 grams (micro-preemie) and confirmed gestational age of more than 23 0/7 weeks given full NICU care after shared decision making of obstetric/neonatal team with family of baby will be included in the study.
Exclusion criteria
Exclusion criteria: Preterm neonates with lethal or complicated malformations , chromosomal anomalies. Death/discontinuation of treatment within 12 hours of delivery will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of neonates who had survived till discharge (survival rates) Timepoint: Birth to discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Short term morbidities like, Respiratory Distress Syndrome [RDS] Hemodynamically significant Patent ductus arteriosus [hs-PDA] Necrotizing Enterocolitis [NEC] (bell stage II or greater) Intraventricular Hemorrhage [IVH] grade = II Periventricular leukomalacia [PVL] Pulmonary hemorrhage Any sepsis [culture proven , screen positive, clinical sepsis] Dys-electrolytemia Moderate to severe bronchopulmonary dysplasia [BPD] Retinopathy Of Prematurity [ROP] during hospital stay Osteopenia of prematurity Neonatal cholestasis Anaemia of prematurity Coagulopathy Thrombocytopenia Timepoint: Birth to discharge;Age (in days) for discharge from the hospital in survivors Timepoint: Birth to discharge;Feeding related parameters like, Feed intolerance with number of feed interruptions Time to reach full enteral feeds Time to start paladai feeds and to reach full paladai feeds Probiotic usage Timepoint: Birth to discharge;Requirement of Therapeutic modalities like, Ventilation Surfactant replacement therapy Total parenteral nutrition [TPN] Antibiotics for sepsis PDA medical management / PDA ligation Blood products transfusion (packed red cells, fresh frozen plasma) Steroids for BPD Laser therapy or intravitreal injections for ROP Timepoint: Birth to discharge | — |
Countries
India
Contacts
Chettinad Hospital and Research Institute