الفهرس 
NEONATAL MONITORING DURING TRANSPORTING
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Abstract
Adequate neonatal transport is a key component of care
of the sick neonates who requires referral to tertiary care
centers that provide higher levels of care. When neonates are
referred, transport may interfere with several aspects of his/her
homeostasis, such as thermoregulation, metabolic stability,
fluid and electrolyte balance, and cardio respiratory status,
among others. This interference may cause clinical
deterioration, especially when the quality and continuity of
monitoring and/or treatment is not ensured as during
hospitalization.
All neonates were subjected to prenatal history as
(infection, radiation, diseases and drugs during pregnancy).
Natal history as (gestational age methods of delivery and
complications during delivery).
The study used transport risk of physiologic stability
(TRIPS) score which include (temperature, BP, respiratory
distress, pulse oximetry and response to noxious stimulus). The
Transport Risk Index of Physiologic.
Stability (TRIPS) is a simple, practical, empirically
weighted measure of neonatal illness severity that correlate
with NICU mortality and can be measured within 1 minute
without need for laboratory support.
We assessed neonates before and after transport and
changes were detected by comparing before and after transport
scores.
2
The most common cause of transportation was
respiratory distress as need for MV (45%), need for nasal
oxygen (35%), need for CPAP(10%) need for surgery(6.67%)
and lastly need for C.T scan(3.33%).
Risk of death within 7 days according to TRIPS score
before transportation shows that neonates take point 0 to 8
represent 43.33% of our study, neonates take point from 9 to 16
represent 5%, neonates take point 17 to 24 represent 3.33%,
neonates take point from 25 to34 represent 20%, neonates take
point 35 to 44 represent 21.67% & neonates take point 45 to 70
represent 6.67%.
While as, risk of death within 7 days according to TRIPS
score after transportation shows that neonates take point 0 to 8
represent 20.00% of our study, neonates take point from 9 to 16
represent 15.00%, neonates take point 17 to 24 represent
16.67%, neonates take point from 25 to34 represent 16.67%,
neonates take point 35 to 44 represent 21.67% & neonates take
point 45 to 70 represent 10.00%.