PMID: 24353699Dec 20, 2013Paper

Risk factors and mortality among newborns with persistent pulmonary hypertension

Pakistan Journal of Medical Sciences
Athar RazzaqNaila Nizami

Abstract

To determine the risk factors for persistent pulmonary hypertension of newborns (PPHN) and their influence on mortality. This was an observational study conducted at The Children's Hospital & the Institute of Child Health, Multan, Pakistan, from July 2011 to June 2012.All admitted babies who had respiratory distress, cyanosis and evidence of hypoxia on ABG,s were diagnosed provided that they were having right- to- left or bidirectional hemodynamic shunting at the ductus arteriosus or at patent foramen ovale along with Tricuspid regurgitation (TR) jet >40 mm of Hg on echocardiography. All the demographic, maternal, antenatal, natal and postnatal data were recorded on a predesigned Performa. There were 79 patients, including 61 males and 18 females. The most common risk factors observed in our study were male sex (72.1%), cesarean section mode of delivery (54.2%), positive pressure ventilation while resuscitation (44.2%) birth asphyxia (40.4%) and meconium aspiration syndrome (MAS)35.4%. It was found that male sex (88.8%), cesarean-section delivery (77.7%), respiratory distress syndrome (RDS) 44.8% and sepsis (44.4%) were more associated with PPHN in premature infants than with term and post term infants. Out of the total 79 pati...Continue Reading

Citations

Jul 29, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Narongsak Nakwan, Surassawadee Pithaklimnuwong
May 12, 2018·Acta Paediatrica·David N O'DriscollEleanor J Molloy
Dec 25, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·H L ErsdalJ Perlman
Jul 21, 2020·Journal of Health Economics and Outcomes Research·Shivani PandyaLi Wang
Feb 17, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Mohd Nizam Mat BahEmieliyuza Yusnita Alias
Jul 25, 2017·Pediatrics and Neonatology·Gunlawadee ManeenilSupaporn Dissaneevate

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