Incidence, Severity and Early Outcome of Hypoxic-ischemic Encephalopathy among Newborns Born in a Rural Tertiary Care Centre in Southern India
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: Hypoxic-ischemic encephalopathy (HIE) remains a great problem in developing countries. It occurs in 0.5% of live births of gestational age more than 36 weeks and accounts for 20% of perinatal deaths. Objective: The aim of the study is to determine the incidence, severity and early outcomes of newborns born at tertiary care centre in southern India. Methods: This study is a prospective study conducted among newborns with perinatal asphyxia for a period of 6 months from January 2017 to June 2017. The severity of HIE was classified by Sarnat and Sarnat staging. The asphyxiated babies were followed daily since birth to 7 days or until discharge, and the outcomes were noted. Results: Out of 3130 term and near-term babies during the study period 2.7% (n = 84) had perinatal asphyxia. Among them 55% had mild HIE, 36% had moderate HIE, and 9% had severe HIE according to Sarnat and Sarnat staging. Out of 84 babies who had HIE, 4.8% (n = 4) babies died. Conclusion: Incidence of perinatal asphyxia in our setting is little high. Morbidity and mortality of high initial score babies is very high. Good obstetric care and effective newborn resuscitation are vital in decreasing the occurrence of perinatal asphyxia and to improve the outcome of newborn babies.
Authors and Affiliations
R Selvakumar, C Vasanthamalar, S Ignatius Joel Deepthy
Keywords
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