Assess the impact of selected maternal parameters on neonatal oxygen saturation levels after birth through pre and post ductal saturation monitoring at pravara rural Hospital, Loni (Bk)

Over the past few years, great efforts have been made to screen duct-dependent congenital heart diseases in the newborn. Arterial pulse oximetry screening (foot and/or right hand) has been put forth as the most useful strategy to prevent circulatory collapse. The left hand, however, has always been ignored, as it was unclear if the ductus arteriosus influences left-hand arterial perfusion. A neonate undergoes major physiologic changes during transition from intrauterine to extrauterine period. The percentage saturation of hemoglobin takes about 10 minutes to reach a level of more than 90%. This fact is to be borne in mind while resuscitating a new-born with oxygen to avoid its toxicity. It is still unclear whether the oxygen saturation profile could be affected byracial/ethnic variation, birth weight, sex, APGAR score or maternal factors (age, hemoglobin, type of labour) in term healthy babies. This study aimed: 1) To note the time taken for SpO₂ to reach a value of 90%, 2) To note the time taken for preductal and post ductalSpO2 to equalize and 3) To look for the association between SpO2and various infant and maternal factors.

A cross sectional observational descriptive study was undertaken at Pravara rural hospital, Loni (Bk). A total of 60 new-born were selected with the help of non-probability purposive sampling technique to assess the impact of selected maternal parameters on neonatal oxygen saturation levels after birth through pre and post ductal saturation monitoring at Pravara Rural Hospital, Loni (Bk). The investigator used structured questionnaire and observation checklist to collect the data. The data was analyzed with descriptive and inferential statistics wherever required.

The result of the study revealed that for 05 minute the reliability is 0.58 this indicates the correlation between pre and post ductal saturation with APGAR is moderately correlated. For 01 minute the reliability is 0.29 this indicates the correlation between pre and post ductal saturation with APGAR is not correlated. For 10 minute the reliability is 0.15 this indicates the correlation between pre and post ductal saturation with APGAR is not correlated.

The major conclusion drawn from this study is that, at 01 minute SPO2 monitoring of neonates 43% had normal SPO2, 42% had decreased SPO2 (<60%) and 15% had increased SPO2 (>65%). At 05 minute of SPO2 monitoring of neonates 58% had normal SPO2, 32% had decreased SPO2(<80%) and remaining 10% had increased SPO2(>85%). At 10 minute of SPO2 monitoring of neonates 43% had normal SPO2, 40% had decreased SPO2 (<85%) and remaining 10% had increased SPO2 (>95%).