Maternal Risk Factors and Demographic Profile of Neonates Presenting with Persistent Pulmonary Hypertension in a Tertiary care Hospital, Odisha Panda Santosh Kumar1, Nayak Manas Kumar2,*, Rath Soumini1, Mohakud Nirmal Kumar2, Panda Subhra Snigdha3 1Assistant Professor, Paediatrics, KIMS Medical College and Hospital, Bhubaneswar 2Associate Professor, Paediatrics, KIMS Medical College and Hospital, Bhubaneswar 3Assistant Professor, Microbiology, KIMS Medical College and Hospital, Bhubaneswar *Corresponding Author: Dr Manas Kumar Nayak Associate Professor, Paediatrics, KIMS Medical College and Hospital, Bhubaneswar Phone: 9583963680 Email: drmanas_76@yahoo.co.in
Online published on 13 November, 2019. Abstract Objective To determine maternal risk factors and demographic profile of neonates presenting with persistent pulmonary hypertension in a tertiary care hospital, Odisha Method It was a hospital based study, conducted from June 2015 to December 2017 in Kalinga Institute of medical colleges and hospitals, Bhubaneswar, Odisha. All babies with gestational age > 34 weeks having respiratory distress and profound hypoxia were included in the study after confirmation of PPHN by Echocardiography. Results In our study population majority babies with PPHN were male (73%) and 90% babies were delivered by LSCS. Late preterm babies constituted 21% of total PPHN cases. Hyaline membrane disease (30%) and meconium aspiration syndrome (26%) were leading cause of PPHN in neonates. Conclusion PPHN is a serious and often fatal condition, associated with a high mortality (29%). Late preterm neonates constituted 21% of total population and 90% of PPHN neonates were born by LSCS. Hyaline membrane disease is the leading cause of PPHN suggesting a change in the demographic profile. Top Keywords Persistent pulmonary hypertension, meconium aspiration syndrome, hyaline membrane disease. Top |