Biography
Biography: Grace Lalana Christopher
Abstract
Back ground: Birth Asphyxia is one of the leading causes of neonatal and perinatal mortality in developing Asian Countries. Quick and safe neonatal resuscitation takes on priority in saving lives discovered for the first time in the world. Newly born resuscitation is unique in that displacement of lung filled fetal fluid requires continuous distending pressure as opposed to intermittent positive pressure ventilation is both scientifically and physiologically proven for uniform recruitment of alveoli and functional residual capacity to achieve optimal gas exchange. Aim: The only therapy for hypoxia is oxygen reducing Pulmonary Vascular Resistance (PVR) initiates breathing and reflex physiological mechanism of left to right shunting promotes vital cardio-vascular changes adapting to extra-uterine life. Method: Study comprised of 1,383 consecutive singleton live births during 14-month period from 1st April 2016 to 31st May 2017, I attended 830 cases among 1383 deliveries and exclusion criteria were 12 twin pregnancies and 10 stillbirths. Methodology includes three steps. Step one is Pulse oximetry score from zero to +5 based on peripheral oxygen saturation. Step two is classification of newborns into Grade I to V based on SpO2, pattern of respiration, rate/min and heart rate (bpm) and step three is Lalana Newborn Resuscitation (LNR) Protocol I and II by Continous positive pressure ventilation by sustained nasal oxygen inflation. Results: Incidence of birth asphyxia was 21.4%, all 178 hypoxic/asphyxiated newly borns Graded I-V within 20-120 seconds of birth, were successfully resuscitated by sustained nasal oxygen inflation at flow rate of 4-15 Liters/minute directed towards baby’s nostrils through a wide bore tube for up to 1 to 3 minutes, initiating rhythmic respiration, rate 30-60/min, heart rate 120-160 beats per minute (bpm) and SpO2>96% monitored continuously by Pulse Oximeter. Conclusion: ‘Lalana Newborn Resuscitation’ (LNR) proved effective in all 178 asphyxiated newborns, Grade I-V by continuous positive pressure ventilation with sustained nasal oxygen inflation at flow rates of 4-15 L/min who commenced rhythmic breathing within 1-3 minutes of birth, respiratory rate 30-60/min, heart rate 120-160 bpm and Zero pulse oximetry score, SpO2 >96%.