PERINATAL MORTALITY August 2009 By Dr Rashida Amir Paeds Department.
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Transcript of PERINATAL MORTALITY August 2009 By Dr Rashida Amir Paeds Department.
Case 1
B/o Fouzia , NB , B/B , wt 2.5kg Preterm , SVD at BBH Mode of admission = ER D.O.A = 10-08-09 Risk Factors
* booked pt
* breech presentation
* h/o PIH & gestational diabetes
* Polyhydramnios
• Call not sent.baby sent to ER with nurse.
APGAR mentioned = 5/10 & 8/10• On examination sick-looking , depressed NNR , peripheral
cyanosis, Bruise on left hip Diagnosis Birth Asphyxia , IVH , Septicaemia , DIC
Management Prop-up , O2 inhalation , I/V antibiotics , I/V
fluids , infusion dopamine , resuscitation/CPR D.O.E = 12-08-09 Duration of stay in NICU = 02 days 16 hrs
Case 03
B/o Shama , NB, B/G, wt 02kg Preterm , SVD at BBH Mode of admission = ER D.O.A = 12-08-09 Risk Factors Call not sent .baby sent to ER with nurse from LR
On examination sick-looking , absent NNR , gasping
respiration , meningoencephalocele , polydactyly , short neck , low-set ears
Diagnosis Birth Asphyxia III , Meningoencephalocele
Syndromic Baby
Management
resuscitation/CPR , I/V antibiotics ,
I/V fluids D.O.E = 12-08-09 Duration of stay in NICU =01 hr
Case 04
B/o Sonia , 02DOL , B/G , wt 2.5kg FTP , SVD at BBH to PG mother Mode of admission = ER D.O.A = 12-08-09 Risk Factors
Call not sent .baby sent to ER with nurse APGAR mentioned 2/10
On examination V.sick-looking , moaning , bruises all over the
body , depressed NNR Diagnosis Birth Asphyxia III , Meconium Aspiration
Syndrome
Management Prop-up , O2 inhalation , I/V antibiotics , I/V fluids,
infusion dopamine , resuscitation/CPR D.O.E = 13-08-09 Duration of stay in NICU = 19 hrs
Case 05
B/o Nosheen , NB , B/B , wt 2 kg Preterm GA 34+ wks , SVD at BBH to
G2P1mother Mode of admission = ER D.O.A = 19-08-09 Risk Factors
* h/o PROM > 18hrs
* h/o Previous preterm delivery
* preterm labour
Call not sent, baby sent from LR with nurse On examination Sick-looking , moaning, Hypothermic baby,
pallor , depressed NNR , weak cry , Diagnosis Preterm 34+ wks , LBW AGA , Birth asphyxia II,
N.N.Sepsis, N.N. Jaundice, Apnea of Prematurity
ManagementO2 inhalation , I/V antibiotics , I/V
fluids , dopamine & aminophylline infusion , resuscitation/CPR
D.O.E 23-08-2009 Duration of stay in NICU – 4 days
Case 06
B/o Yasmeen , NB , B/G , wt 03kg FTP , LSCS at BBH Mode of admission = ER D.O.A = 21-08-09 Risk Factors Call attended by Paeds department Baby delivered with APGAR 3/10 & 7/10
On examination V.sick-looking , resuscitated in COT , Absent NNR Diagnosis Birth Asphyxia III , Meconium Aspiration
Syndrome
Management Prop-up , O2 inhalation , I/V antibiotics , I/V
fluids , infusion dopamine resuscitation/CPR D.O.E = 22-08-09 Duration of stay in NICU = 13 hrs
Case 07
B / o Shamshad , NB , B/B , wt 2.5 kg FTP , LSCS at BBH to G4P2A1 mother Mode of admission = ER D.O.A = 27-08-2009 Risk Factors * placenta praevia II & abruptio placenta * non-booked Call not sent. Baby sent from COT with nurse
On Examination Sick-looking baby , lethargic , hypothermic,
depressed NNR Diagnosis Birth Asphyxia III , N.N.Sepsis
Management O2 inhalation , I/V antibiotics , I/V fluids ,
dopamine transfusion , resuscitation/CPR D.O.E = 28-08-2009 Duration of stay in NICU 16hrs