HIE
Conditions
Keywords
HIE, MgSO4
Brief summary
Neonatal mortality rate is the highest in Pakistan. And Birth Asphyxia is one of the main reversible causes. Outcomes related to birth asphyxia can be improved, if intervention done in time with proper measures. MgSO4 is cheaper and easily available drug.
Detailed description
Some studies showed positive results if given within 6 hours of birth asphyxia, whereas some are not supportive. But still less know about this drug, especially in low income countries. Objective of this study is to see beneficial effects of MgSO4 in neonates presenting with birth asphyxia.
Interventions
Before and during administration of MgSO4, B.P, Capillary refill time, Heart rate and respiratory rate will be assessed closely i-e on 10 minutes interval, infusion of MgSO4 will be give over 30 minutes and baby will be monitored every 15 minutes interval after completion of infusion as well for 1 hour.
Sponsors
Study design
Masking description
Blinded Study
Intervention model description
Case control study
Eligibility
Inclusion criteria
* After informed consent, any child who is term, inborn or out born fulfilling the definition of hypoxic ischemic encephalopathy according to history, apgar or scoring system and reaching within 6 hours of delivery in nursery department of pediatric medicine unit-II, Services Hospital, Lahore
Exclusion criteria
* Preterm Syndromic/dysmorphic child Term child with HIE and arriving after 6 hours of life. Term child with unrelated co morbidities eg congenital heart defects, Renal failure etc
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in Immediate complications of disease | 2 weeks | Reduction in Immediate complications of disease |
| Reduction in mortality | 2 weeks | Reduction in mortality |
| Reduction in hospital stay | 2 weeks | Reduction in hospital stay |
Countries
Pakistan