Grace Lalana Christopher

Grace Specialist Clinic, India

Abstract Title:

Lalana Newborn Resuscitation

Biography:

Dr Grace Lalana Christopher has completed both her undergraduate M.B.B.S. and postgraduate Diploma in Child Health at reputed institution, Christian Medical College & Hospital, Vellore, South India and subsequently completed her DNB course from Bangalore. She has qualified for the ECFMG (US), currently valid. She is a Consultant Paediatrician at Grace Specialist Clinic and Founder, CEO of ‘New Gen Parenting’ @www.newgenparenting.com. She is an eminent speaker in the field of Perinatology and has authored several books focussed on each developmental stage from zero to young adults in ‘New Gen Parenting’ including ‘Family life’ and ‘Career Guidance@newgenparenting.com and has published several leading original scientific research papers in paediatrics, perinatology and new-born care in reputed international journals as well as presented papers at several reputed conferences and recently as Keynote Speaker at International conferences. She has recently released a book titled “Recent Advances in Perinatology with special reference to ethnicity on national platform by Dr. Bharti, President of National Neonatology Forum, India.

Research Interests:

Introduction ‘Lalana Newborn Resuscitation’ (LNR) discovered for the first time in the world is the only safest and best non-invasive resuscitation technique in newly borns transiting from fetal fluid filled lungs to well aerated neonatal lungs by continuous distending pressure with sustained nasal oxygen inflation results in quick onset of rhythmic respiration. Aims & Objective The most critical task in newly born resuscitation is lung aeration by clearing lung fluid for gaseous exchange. Oxygen is the only specific therapy for hypoxia to decreases central apnea and promote regular breathing pattern by sustained nasal oxygen inflation as opposed to IPPV by NRP Material & Methods Grading of newborns I – V based on Pulse oximetry score from zero to +5, respiratory and heart rate. Implementation of Protocol I and Protocol II resuscitation in term and preterm <32 weeks gestation <1250g newborns with continuous distending pressure by sustained nasal oxygen inflation shifts fetal lung fluid causing uniform alveolar recruitment with large reduction in Pulmonary Vascular resistance (PVR) facilitating reflex vital cardio-vascular changes adapting to extra-uterine life has both scientific and physiological basis. Results The incidence of birth asphyxia was 21.4% among 1,383 singleton live births with 178 asphyxiated new-borns in 830 deliveries attended. LNR method resulted in establishing rhythmic respiration within 1-3 minutes, of which 97.7% occurred within 1 minute and remaining 2.2%, within 2-3 minutes, with continuous monitoring by pulse oximetry till SpO2 >96%, rhythmic respiration, heart rate >100 beats per minute (bpm), all had uneventful neonatal period. Conclusion Effective resuscitation by Lalana Newborn Resuscitation (LNR) is based on scientific principle of application of Continuous Positive Pressure Ventilation (CPPV) by sustained nasal oxygen inflation with real time SpO2 and heart rate (bpm) monitored by pulse oximetry to grade hypoxic/asphyxiated newborns to determine oxygen flow rate saving lives so children should be normal. Thereby reducing perinatal, neonatal, Infant and consequently under-five child mortality and morbidity rates