[PROFESSOR. SYED MUHAMMAD BAQUI BILLAH, DR. FATEMA-TUZ-ZOHORA, DR. K.M. MEHEDI HASAN, DR. PRONAY KUMER DEBNATH]

ABSTRACT:

—————–

Baby of Sima, weight 1.5 kg was born with respiratory dieters syndrome delivered by cesarean section with the Indication of 2nd gravida with 35 weeks pregnancy with Intra uterine Growth retardation with fetal distress.

We measured the APGAR score :

We found the — appearance of the baby was cyanotic, pulse rate was 80b/min.

Baby cry when stimulated, body movement was not so good, respiration was irregular.

We took some step here for first line management:——

. O2 inhalation 1L/ min.

. wrapped the baby with cotton for warm.

. Inserted a cannula for fluid and drug management.

Then we sent the baby in a Tertiary hospital for NICU support as it is a upozilla level hospital there is no NICU support.

At that time the patient clinical condition was:

SPO2 : 95%

FIO2: 40%

And the vital sign were stable.

In NICU the baby was given the following treatment :

.  C -PAP care.

. NG tube feeding 12 ml every 3 hourly.

. Inf. 10% Baby saline.

. Drop Loracef 35 mg (0.35 ml) 12 hourly by

NG tube.

. Syp. Frusin (0.2ml) once daily.

It was diagnosed a case of

PRETERM (35 wks.), SGA( 1620gm)

With RDS with MODERATE PDA with MILD PPHN with PFO.

The patient of Sima mothers of the baby had the history of repeated pregnancy loss. She also gave birth on IUGR Baby through per vaginal delivery but the baby was dead 2 years back.

When she came to us we recorded her all vitals :

. BP -100/60 mmhg

. Pulse -62 b/min.

. Spo2 -97%

. Anemia – present.

By Ultrasound profile :  —–

We found A single alive pregnancy about 35 wks with foetal cardiac pulsation and foetal movement  present. AFI – Adequate and breech presentation with IUGR.

After 2 days of NICU support the Baby was come to us and we support the baby with proper management :

. O2 inhalation.

. Wrapped the baby with cotton.

. Breast feeding and medication through NG.

At 7th POD of the baby was improved his bowel and bladder habit was normal, body movement was good and he responded our command, sucking reflex was also good.

We released the Baby.