Articles Vol. 66 No. CĐ2-NCKH 24/03/2025

49. THE RESULT OF INVASIVE MECHANICAL VENTILATION TREATMENT IN NEONATAL AND RELEVANT FACTORS WITH DISEASES MATERNAL IN BACH MAI HOSPITAL

Pham Van Hung1,2, Nguyen Thi Bich Hong3,4, Nguyen Thanh Nam1,2, Nguyen Ngoc Thai5,6, Pham Van Dem1,2,7,8
1 Bach Mai Hospital
2 Bệnh viện Bạch Mai
3 Bac Giang city Medical Center
4 Trung tâm Y tế thành phố Bắc Giang
5 Phu Tho Viet Duc General Hospital
6 Bệnh viện Đa khoa Việt Đức Phú Thọ
7 VNU, University of Medicine and Pharmacy
8 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
Corresponding author: phamdemhd@gmail.com
DOI: 10.52163/yhc.v66iCĐ2.2244
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Keywords
Newborn neonatal respiratory failure invasive mechanical ventilation
Abstract

Objectives: To evaluate the results of mechanical ventilation in newborns treated at the Department of Pediatrics, Bach Mai Hospital, and to identify some related factors from maternal pathology.

Research methods: Using a cross-sectional descriptive method, studying 51 newborns treated with invasive mechanical ventilation at the Department of Pediatrics, Bach Mai Hospital from June 2019 to April 2020.Results: Newborns requiring invasive mechanical ventilation accounted for 15.1% of the total number of newborns with respiratory failure, in which the male/female ratio was 2/1. Infants in the group with mothers having pathologies (68.6%) were significantly higher than those in the group with mothers having no pathologies (31.4%) with p < 0.05. The rates of extremely premature, very premature, premature and full-term infants requiring mechanical ventilation were 15.7%; 47.1%; 29.4% and 7.8%, respectively. The average weight of infants in the group with mothers having pathologies (1510 ± 710g) was lower than that of infants in the group with mothers having no pathologies (1880 ± 1040g). The average duration of invasive mechanical ventilation of infants in the group with mothers having pathologies (8.5 ± 7.6 days) was higher than that of infants in the group with mothers having no pathologies (4.06 ± 3.3 days). Children born to mothers without the disease had a higher rate of successful treatment (93.8%) than children born to mothers with the disease (88.6%). The treatment failure rate (death) was 9.8%.Conclusions: Children born to mothers with disease had a higher mean duration of invasive mechanical ventilation and a lower success rate than children born to mothers without disease.

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