AUDIT OF PROPER TECHNIQUE OF LID TAPING

Background: To assess the quality of lid taping done in departments handling patients requiring critical care. Method This study is an observational cohort study which assessed the quality of lid taping from May 2022 to October 2022.This study was done in 10-bedded intensive care unit of a tertiary care medical teaching hospital. Retrospective analysis was done during phase 1 and post intervention, phase 2 was conducted. A 30% reduction in the incidence of exposure ke Result: ratitis was observed in these critical care patients. Protocolized eye care needs to be emphasised in critical ca Conclusion: re units along with training and sensitisation of the care givers and staff members towards the same is mandatory.

NEONATAL OUTCOME IN INFANTS OF DIABETIC MOTHERS

Introduction The prevalence of diabetes is increasing globally . 3 to 5 % of all pregnant women show glucose intolerance. Approximately 90% of these women have GDM.Infants born to diabetic mothers are prone to complications like congenital malformations and metabolic abnormalities.Most of these complications depend on maternal glycemic control which can be prevented by good periconceptional and prenatal care. This Aims and objectives study is taken up to evaluate complications occurring in infants of diabetic mothers and also to compare the outcome of infants of preGDM mothers and GDM mothers This is hospital based observational study done on infants of diabetic Methodology mothers admitted in NICU, KGH, Visakhapatnam Neonates of diabetic mothers who have other complications like heart disease, PIH, Pre eclampsia, twin gestation, etc. which may effect the baby adversely are excluded from study A total of Results 50 neonates are studied out of whom 37 neonates are born to mothers with gestational diabetes and 13 to mothers with overt diabetes . Mean birth weight of infants of GDM is 3.7kg. Hypoglycemia is more common in infants of GDM mothers than in overt DM. Congenital anamolies are seen in 14% of babies. Birth injures including clavicle fracture , erb's palsy are seen in 5 babies, all of then weighed >3.5kg and delivered by assisted vaginal delivery. Macrosomia,birth injuries and metabolic Conclusion complications are common in infants of GDM mothers than in infants of pre GDM mothers.This shows importance of timely screening of all pregnant women for GDM and counsel them regarding importance of glycemic control to prevent neonatal complications