Long-term fate of a newborn cohort with perinatal asphyxia Medicine and neonatal resuscitation, children's hospital in Rabat, IBN Sina Chis
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
The objective of this work: Highlight the table of morbidity and mortality caused by the degrees of perinatal asphyxia. Materials and Methods: Through exhaustive sampling, this study targeted all neonates admitted with a diagnosis of perinatal asphyxia during 2015 and 2016, at the national reference center in neonatology and nutrition at the children's hospital of the university hospital of Rabat, whatever their origin. The mixed questionnaire was chosen as an investigative tool. Thus, based on a sample of 568 newborns and with a response rate of 84.51%, the speculations conducted in this study showed the following results. Results: SNNIII accounted for 41.45 of the cases investigated, followed by SNNII, which accounted for 38.75% of cases. While, SNNI ranks last with a percentage of 19.8%. Almost 43% of these perinatal sufferings required a hospital stay that exceeds 7 days. Of the 480 cases investigated, 58 deaths, as a result of perinatal asphyxia complications, were recorded, and 60.43% of cases that are alive suffer from abnormal evolution. Reported health complications, among the surveyed infants and children, are mainly cerebral palsy with a percentage of 32.15%, overall retardation of motor development with a percentage of 29.80%, seizures in 16.86%, hemiplegia in 9.02%, deafness in 5.10% and blindness in 7.04% of cases. 75.69% of complicated cases did re-education sessions. With a frequency of once a week in 44.56%, two sessions per week in 49.22%, and 3 times per week in 6.22% of cases. The public health establishments provide the re-education sessions with a percentage of 56.48%. While 34.71% benefit from re-education sessions at the association level and only 8.81% who use private practices. Of the 60.43% of cases with complications of perinatal sufering, 30.2% are not monitored by a pediatrician following a parental decision. The reasons fueling this decision are essentially, the non completion of the requested examinations in 46.75%, the lack of financial resources in 35.06%, the repeated postponement of appointments by the care structure in 11.69%, and the use of traditional medication in 3.9%. Conclusion: The prognosis of newborns with perinatal asphyxia is evidenced by alarming figures showing that the prevention of perinatal asphyxia requires urgent action, in order to face this public health problem. And as a result participated in the reduction of neonatal morbidity and mortality. In addition, this research has highlighted shortcomings in the subsequent care of infants and children who have suffered from perinatal asphyxia. Illustrating, therefore, the importance of taking action in the application is likely to ensure a proper charge that meets the specificities of these infants and children.
Authors and Affiliations
Asmaa Barkat
Keywords
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