Birth Asphyxia
Conditions
Keywords
Oral vitamin C and Oral vitamin E
Brief summary
To study the role of first-day high dose oral vitamin C and first-day single high dose oral vitamin E in hypoxic-ischemic encephalopathy in newborns, in the reduction of morbidity and adverse neurodevelopmental sequelae.
Detailed description
Design: A prospective, randomized controlled trial over 5 months. Patients: Newborns admitted within 6 hours after birth with gestation \>32 weeks, Apgar score of \<6 at 5 minutes, features suggestive of neonatal encephalopathy. Intervention: After randomization, Group A newborns received oral vitamin C 250 mg once a day within a 24-hour interval along with a single dose of vitamin E 200 IU. Group B newborns received no intervention. Outcome measures: Severity and progression of birth asphyxia, duration of hospitalization and mechanical ventilation, mortality, and neurodevelopmental outcome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Apgar score of \<6 at 5 minutes 2. Clinical features suggestive of neonatal encephalopathy (coma, seizures or hypotonia)
Exclusion criteria
1. Newborn hospitalized in neonatal intensive care unit (NICU) after 6 hours of birth 2. Gestational age \<32 weeks. 3. Lethal congenital anomaly
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the role of first day high-dose vitamin E and vitamin C in reduction of adverse neurodevelopmental sequel in newborns with birth asphyxia. | 6 months | Vitamin C and E were initiated orally within 6 hours of birth. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality and morbidity in newborns with birth asphyxia administered vitamin E and vitamin C. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 15 DAYS. | Deaths and Sequel were measured. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Role of single high dose vitamin E and vitamin C in progression or resolution of Hypoxic ischemic encephalopathy. | at 12 hours | progression of birth asphyxia in terms of HIE Sarnat grading. |
| Role of single high dose vitamin E and vitamin C in progression or resolution of Hypoxic-ischemic encephalopathy. | 15 days | Grading of HIE and discharge or death and sequel at followup. |
Countries
India