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A scientific study to compare the role of reduced intravenous fluid administration versus normal intravenous fluid administration on the death and developmental outcome among newborns with perinatal asphyxia treated with therapeutic hypothermia.

Not Applicable
Completed
Conditions
Health Condition 1: null- Term newborns with birth asphyxia
Registration Number
CTRI/2016/11/007431
Lead Sponsor
JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH JIPMER
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

Gestational, age >= 36 weeks

ABG(umbilical cord or 1st postnatal hour

pH <=7 or Base deficit >= 12 meq

OR

i.APGAR <=5 at 10 min

ii.Assisted ventilation for at least 10 min after birth

iii.History of acute perinatal event- intrapartum fetal distress, cord prolapse placental abruption .

Above criteria in presence of moderate or severe encephalopathy by clinical examination.

Exclusion Criteria

i.Infants >6 hours of age at the time of randomization.

ii.Major congenital abnormalities.

iii.Maternal renal failure

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.To compare the composite outcome of death or major neurodevelopmental disability at 6 months of age between fluid restricted and non fluid restricted groups. <br/ ><br>Timepoint: Six months of life.
Secondary Outcome Measures
NameTimeMethod
1.To study the changes in serum electrolytes, serum osmolarity, renal and neurological clinical parameters between term asphyxiated newborns treated with fluid restriction and without fluid restriction. <br/ ><br> <br/ ><br>. <br/ ><br>2.To correlate the parameters like change in serum sodium, change in serum osmolarity, incidence of hypoglycemia, incidence of acute kidney injury, incidence of shock and neonatal seizures to outcome. <br/ ><br>Timepoint: At six months of life.
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