Browsing by Author "Karki, Rajani"
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Publication Effectiveness of Kangaroo Mother Care in Early Weaning of Oxygen Therapy among Preterm Neonates in a Tertiary Care Center in Nepal: A Quasi-Experimental Study(Nepal APF Hospital, 2026) Karki, Rajani; Basnet, Sudha; Gupta, Pradeep Kumar; Thapa, June; Adhikari, Punam; Shah, Prakash ManAbstract: Introduction: Kangaroo Mother Care is a cost-effective intervention based on skin-to-skin contact and exclusive breastfeeding that improves survival in preterm and low birth weight infants. Early initiation of Kangaroo Mother Care during respiratory support has shown benefits in stabilizing vital parameters and improving oxygenation. The aim of this study was to find out the effectiveness of early Kangaroo Mother Care during oxygen therapy in preterm neonates. Methods: This was a quasi-experimental study conducted among 62 preterm neonates of less than 37 weeks of gestation who were on assisted respiratory support, admitted in neonatal ward and neonatal intensive care unit of Tribhuvan University Teaching Hospital from May 2023 to March 2024. Ethical approval was obtained from the Institutional Review Board of the Institute of Medicine (Reference no: 545(6-11) E2). The enrolled neonates were alternately assigned to the two groups interventional and conventional care group. Neonates in intervention group were started on KMC while still receiving oxygen therapy while the conventional care group received daily routine care. Data was collected in predesigned performa and was entered in Statistical Package for the Social Sciences version 26. Results: The duration of oxygen therapy was shorter in the Kangaroo Mother Care group than in the conventional group, with a mean difference of 29.30 h (95% CI 45.98 to 12.62; p=0.001). Hospital stay was shorter in the same group (6.47± 2.84 vs 7.55±3.74 days; p=0.215). Complications were also less frequent, and vital parameters improved significantly after one hour of Kangaroo Mother Care. Conclusions: Early Kangaroo Mother Care during oxygen therapy reduces duration of oxygen therapy, hospital stay and neonatal complications along with stabilization of vital parameters.Publication Morbidities, Complications and Outcomes at Discharge in Newborns Admitted with Respiratory Distress at a Tertiary Care Hospital ofNepal: A Descriptive Cross-Sectional Study(Nepal APF Hospital, 2026) Shah, Prakash Man; Bhatta, Nisha Keshary; K. C., Subash; Sah, Sukrita; K. C., Sri Ram; Karki, Rajani; Pokharel, SamikshyaAbstract: Introduction: Neonatal respiratory disorders are among the leading causes of admissions to neonatal intensive care units due to respiratory distress in the early neonatal period. However, studies on their spectrum and outcomes among Nepalese neonates are limited. This study aimed to find out the proportion and types of respiratory disorders among admitted newborns, along with associated complications and outcomes. Methods: This descriptive cross-sectional study was conducted in the Neonatology Unit of a tertiary care hospital from July 1, 2023 to June 30, 2024, among all inborn neonates meeting the inclusion criteria. Convenience sampling was applied, and the sample size taken was 150. Ethical approval was obtained from the Institutional Review Committee (Ref no 241/080/081-IRC). Data were entered in Microsoft Excel 2007 and analyzed using Statistical Package for the Social Sciences version 11.5. Results: Among 150 newborns, the most prevalent morbidity was Transient Tachypnoea of Newborn 56 (37.30%), followed by Meconium Aspiration Syndrome 46 (30.70%). Similarly, 27 (18%) had complications, and 123 (82%) had no complications. Likewise, 134 (89.30%) babies recovered and were discharged, and 7 (4.70%) died during the course of treatment. Conclusions: This study concluded that the most common morbidity was Transient Tachypnea of the Newborn, followed by Meconium Aspiration Syndrome. This study emphasizes early identification of different types of respiratory disorders and common complications among neonates with respiratory distress which will help in early recognition and treatment thereby minimizing complications and mortality.