Studies in transitional adaptation (cardiopulmonary & thermal) in newborns delivered at tertiary care hospital and those delivered in primary health center and homes in villages

Abstract

Background: Immediate newborn period is a period of rapid physiological changes in the baby. Any compromise in extra- uterine physiologic adaptation will lead to increased stress to the newborn causing high morbidity and mortality. Previous studies on neonatal transition were primarily in hospital born infants from the developed countries. If we are to decrease the high neonatal mortality rate in developing countries such as India we need to study the gaps in knowledge of the problems of newborns in developing countries and there by modify our approach and strategy. Our studies were aimed to fill the gaps in knowledge of fetal to neonatal transition (cardiopulmonary and thermal) in developing countries. Objectives: 1.To establish normative data by for oxygen saturation(SpO2), heart rate (HR), abdominal (Ta) and peripheral temperatures (Tf), non invasive blood pressure (NIBP)in the newborn from birth to first 12 hours of life by continuous electronic monitoring and simultaneous clinical assessment at Tertiary care hospital(TCH). 2. To compare the transitional adaptation between babies born at TCH, PHC and Homes and with reported data from the literature.