Grace Lalana Christopher
Christian Medical College & Hospital, India
Lalana Newborn Resuscitation and New Perinatal Strategy.
Background:
Birth asphyxia is a leading cause of perinatal and neonatal morbidity and mortality with intrapartum factors rather than antepartum or post-partum having a major impact, hence effective resuscitation of newborns takes on priority in saving lives. Genetic differences in Asian and Caucasian population necessitates new ethnic specific perinatal definitions
Aim:
Quick and safe resuscitation of hypoxic/asphyxiated newborns transiting from fetal fluid filled lungs to well aerated neonatal lungs by sustained nasal oxygen inflation with onset of rhythmic respiration, increase heart rate, as a low heart rate indicates vagal induced bradycardia in response to perinatal asphyxia, triggering large reduction in Pulmonary Vascular Resistance (PVR), facilitates a series of cardiovascular changes essential for survival after birth. New perinatal strategy for ethnic Asians with peak delivery at 38 weeks gestation requires implementation of ethnic Asian Due Date for wellbeing of Asian fetuses and newborns.
Method:
The study comprised of 1,383 consecutive singleton live births during 14 month period from 1st April 2016 to 31st May 2017, wherein 60% (n=830/1383) deliveries were attended, exclusion criteria 12 twin pregnancies and 10 stillbirths. Resuscitation of hypoxic/asphyxiated newborns involves one to three steps. STEP 1: Assessment of score zero to +5 by pulse oximetry based on peripheral oxygen saturation. STEP 2: Classification as “Normal” and hypoxic/asphyxiated newborns Graded I-V based on SpO2 pattern of respiration, rate/min and heart rate (bpm). STEP 3: Lalana Newborn Resuscitation (LNR) Protocol I and II by sustained nasal oxygen inflation, proven both scientifically and physiologically to initiate rhythmic respiration. The mean gestation at birth among 2705 live births was analyzed using SPSS version 21
Results:
Incidence of birth asphyxia was 21.4%, all 178 hypoxic/asphyxiated newly born Graded I – V within 20 – 60 seconds of birth, were successfully resuscitated by sustained nasal inflatory, oxygen flow at rate of 4 -15 Litres/minute directed to baby’s nostrils through a wide bore tube for up to 1 to 3 minutes, initiating rhythmic breathing, and respiratory rate 30 – 60/min, heart rate 120 – 160 beats per minute (bpm) and, SpO2 >96% monitored continuously by Pulse Oximeter. The peak gestation Asian South Indian newborn is 38.2 weeks gestation.
Conclusion:
‘Lalana Newborn Resuscitation’ (LNR) proved effective in all 178 asphyxiated newborns, Grade I – V by continuous positive pressure ventilation with sustained nasal oxy gen inflation at flow rates of 4 – 15 L/min commenced rhythmic breathing within 1-3 minutes of birth,, respiratory rate 30 – 60/min, heart rate 120 – 160 bpm and Zero pulse oximetry score, SpO 2 >96%. The mean gestation at birth in Asian South Indian newborns is 38.2 weeks gestation and Asian Due Date (ADD) for delivery being 36 +6 weeks gestation.
Keywords:
Lalana Newborn Resuscitation (LNR); Continuous Positive Pressure Ventilation (CPPV); Sustained Nasal Oxygen Inflation; Pulse Oximetry Score; Grade I to V; Perinatal strategy Asian Due Date (ADD).
Global Tech Summit 2023 August 07-08 | Toronto, Canada. Keynote Address: “Lalana Newborn Resuscitation and new Perinatal Strategy”
Global Tech Summit 2023 August 07-08 | Toronto, Speaker presentation: “The Effect of Biological Factors on Birth weight Gestation and Centile Intrauterine Growth Curves in South Indian
Global Tech Summit 2023 August 09-10 | Vancouver,
Speaker Presentation : “Early Onset Sepsis in South Indian Newborns”
Health Check-up | 06.09.2012 | 10am to 1pm | ‘Smart Kids’ Near Phoenix, Whitefield, Bangalore |
Health Check-up | 12.09.2012 | 10am to 1pm | ‘Smart Kids’ Malleshpalya, Bangalore |
Seminar on Human Behavior |
24.09.2012 |
9.30am- 1pm | Counselling Dept. South East Asia Bible College , Hennur |
THE EFFECT OF BIOLOGICAL FACTORS ON BIRTH WEIGHT AND GESTATION IN SOUTH INDIAN NEWBORNS
Grace Lalana Christopher
TO DOWNLOAD ARTICLE CLICK ON THE LINK BELOW:-
Grace Lalana Christopher. (2018) The Effect of Biological Factors on Birth weight and Gestation in South Indian Newborns. Journal of Pediatric Neurology and Medicine. 3(1); 97-103. https://www.omicsonline.org/open- access/the-effect-of-biological-factors-on-birth-weight-and-gestation-in-
NEW NEWBORN RESUSCITATION DISCOVERED FOR THE FIRST TIME IN THE WORLD
LALANA NEWBORN RESUSCITATION
By
Dr. Grace Lalana Christopher
TO DOWNLOAD ARTICLE, CLICK ON LINK BELOW
Christopher GL. Lalana Newborn Resuscitation Journal of Clinical Medical Research 2021 | Volume 2 (3): Pages 1-90.DOI: http://dx.doi.org/10.46889/JCMR.2021.2305 Article: https://athenaeumpub.com/lalana-newborn-resuscitation/
