Rapaka Sujatha Devi1, Kunche Satya Kumari2
A variety of disorders of respiratory system and non-respiratory disorders like intracranial injury, cardiac failure metabolic disorders, septicaemia and congenital malformations can manifest clinically with respiratory distress.(1,2)
RDS DEFINITION = RESPIRATORY DISTRESS (RDS)
Is diagnosed clinically by the presence of at least two of the following criteria namely, respiratory rate of >60/minute, retractions, flaring of the alae nasi, expiratory grunt and cyanosis at room air on two consecutive examinations at least hour apart.
AIMS OF THE STUDY
To assess the clinical outcome of respiratory distress in new-born. To study the various Risk factors associated with development of severe respiratory distress in the new-born. To study the usefulness of chest x-ray to identify the cause of respiratory distress in neonate.
The study was carried out in the Department of Paediatrics, AMC, KGH. Prospective study of 200 new-borns with respiratory distress who were admitted in NICU, between July 2014 to August 2015.
All new-borns admitted to NICU within 24 hrs. of birth with RDS in both pre and term babies.
All new-borns admitted to NICU after 24 hrs. of birth with RDS. The severity was assessed by using Downes.(3) clinical scoring and X-rays. Therapy/Treatment and mortality was documented to assess the severity of RDS.
154 cases with distress are of respiratory system in origin out of which 45% were due to Meconium aspiration syndrome, 56% of other conditions responsible for RDS.
Meconium aspiration syndrome (MSA) is the most common cause of RDS in new-born, risk factors like meconium stained liquor, vaginally delivered new-borns, preterm gestation age, & female sex.