Angel K., 1

Angel Koti is a neonate from a financially vulnerable family. Both parents are unemployed peasant farmers with irregular income and no SHA coverage. They live in a single-room rented house and depend mainly on subsistence farming, leaving them unable to meet both daily needs and the growing hospital expenses. Angel was admitted in critical condition with respiratory distress syndrome, birth asphyxia and neonatal sepsis, later complicated by electrolyte imbalance and severe anaemia. Due to breathing difficulties and her unstable condition, she required intensive neonatal care with CPAP (Continuous Positive Airway Pressure), which delivers gentle pressure to keep the baby’s airways and lungs open and support breathing. She underwent repeated laboratory investigations to monitor infection, haemoglobin and electrolyte levels and guide treatment. Management included IV antibiotics, correction of fluid and electrolyte abnormalities, trophic feeds and other supportive care. Angel required close monitoring in the Neonatal ICU, after which she was stepped down to the High Dependency Unit and later transferred to the general ward as her breathing, feeding and overall condition improved.

Angel presented with multiple serious neonatal conditions, including RDS, birth asphyxia, neonatal sepsis, electrolyte imbalance and severe anaemia, requiring intensive monitoring and respiratory, nutritional and medical support. Her need for CPAP and NICU care reflects the severity of her illness. Her subsequent stabilization and transfer from NICU to HDU and then the ward are encouraging signs. Her prognosis is cautiously favourable, provided improvement continues, with close follow-up for growth, development and possible complications.