ABSTRACT
Objective: To determine the outcomes in very low birth weight [VLBW] neonates receiving volume advancement versus frequency advancement feeding protocols
Methods: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017. VLBW neonates having weight < 1500 g at the time of birth were included. The protocol for frequency advancement [FA] group was to give 1 ml/kg human or preformula milk after every 8 hours and in volume advancement [VA] group after every 3 hours initially. After three days, in FA group duration of feeds was decreased gradually from 8 to 2 hours and feed volume of 10 ml.kg-1.day-1 until full-recommended dose of feeding i.e. 150 ml.kg-1.day-1 reached. While in VA group, volume of 20 ml.kg-1.day-1 was given until full-recommended dose of feeding reached. Days to achieve full feed, weight gain, and length of hospital stay were primary study outcomes
Results: Baseline weight of neonates was 1148 [111] grams in VA 1179 [106] grams in FA groups [p-value 0.18]. In VA group, full feed was achieved in 11.04 [2.38] days versus 15.76 [2.48] days in FA group [P-value <0.001]. Duration of IV fluid therapy were 13.5 [8.4] days in FA group versus 9.4 [7.6] in VA group [p-value <0.001]. Moreover weight gain at the end of feeding protocol was significantly higher in VA group 1440 [78] grams versus 1284 [99] grams in FA group [P-value <0.001]. Necrotizing entero-colitis occurred in only one neonate that was belonging to volume advancement group
Conclusion: Volume advancement [VA] feeding is better as compared to frequency advancement [FA] feeding in very low birth weight neonates
Subject(s)
Humans , Male , Female , Infant, Newborn , Feeding MethodsABSTRACT
Neonatology is a rapidly growing paediatric sub-specialty all over the world. Neonatal disease pattern changes from time to time and place. Analyzing the neonatal admission pattern helps the policy makers to make the better strategies and health care givers to serve better. This was a descriptive study. The study data was collected of the patient admitted in neonatal unit of Children Hospital Complex and Institute of Child Health, Multan, Pakistan from 1[st] January 2010 to 31[st] December 2010. The data of all the admitted neonates was analysed according to their causes of admission in whole one year whether admitted through emergency department or OPD clinic. Total numbers of neonatal admissions were 3,560. Birth asphyxia was found to be major cause of admission, 1,230 patients [34.5%]. Among infections, sepsis was found in as a whole in 1,009 [28.3%] of admission, pneumonia in 170 [4.7%] and meningitis in 30 [0.8%]. Out of 3,560 patients admitted, 2,550 were discharged after improvement, 290 died, and 720 left against medical advice [LAMA]. Birth asphyxia, sepsis and prematurity are the main reasons for admission in neonatal age. By paying good attention to perinatal services, we can reduce morbidity and mortality in neonates.
ABSTRACT
To assess the knowledge of radiographers radiation protection in diagnostic radiology. Questions were asked from radiographers of three tertiary care hospitals of Peshawar in November 2005. All radiographers were interviewed by the author according to pre-prepared questionnaire. Questions pertained to principles of radiation protection, permissible occupational dosage, permissible dose for general population, use of foot switch in fluoroscopy, advantage of collimation and effect of increasing Kilo Voltage Peak [KVp] on patient dose. Sampling was convenience sampling. Correct response was 8.8% on question on principles of radiation protection, 0% for question on permissible occupational dosage and dose for general population, 17.7% for query on use of foot switch in fluoroscopy, 77.7% on enquiry on advantage of collimation and 31% correct answers to effect of increasing Kilo Voltage Peak [KVp] on patient dose. Knowledge of radiographers regarding radiation protection procedures and principles was poor