RISK FACTORS AND DEVELOPMENTAL OUTCOME AMONG BABIES WITH PERINATAL ASPHYXIA IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 19
Abstract
BACKGROUND Birth asphyxia is commonest cause of preventable cerebral injury. It is also important cause of neonatal mortality. Incidence of birth asphyxia however is higher in developing countries and leading cause of neonatal mortality. This work is undertaken to study the incidence, risk factors and outcome of birth asphyxia. METHODOLOGY This study was conducted in the neonatal intensive care Unit of tertiary care hospital. Neonates with the APGAR score of less than 7 at 5 minutes were included in the study. Asphyxiated newborns who satisfied the inclusion criteria were enrolled in the study. A detailed prenatal, natal and postnatal history was obtained. A general physical examination was conducted which included temperature, heart rate, any apparent physical abnormality, weight, length and head circumference. OBSERVATIONS Total 684 cases admitted out of which 188 case were expired, 82 case left against medical advice, 414 (60%) cases were improved. Out of 414 cases 156 lost to follow up. 258 cases followed up to one year of age. In the present study, a higher incidence of mortality was seen in babies delivered by instrumental deliveries 51.4% (88 cases). Mortality in babies delivered by Emergency LSCS was 23.1% (52 Cases), while in normal vaginal delivery the incidence of mortality was 16.6% (48 cases). CONCLUSION The common predisposing factors of birth asphyxia were poor antenatal care (24%) and meconium stained liquor (20%). Both ante partum and intra partum factor are important in the causation of birth asphyxia. Improvement in public health of women with associated gains in female growth must remain a long term goal.
Authors and Affiliations
Sudhakar , Natarajan , Bahubali , Revathy
Keywords
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- EP ID EP101704
- DOI 10.14260/jemds/2016/220
- Views 92
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