Current Pediatric Research

- Current Pediatric Research (2015) Volume 19, Issue 1

Clinical profile and outcome of perinatal asphyxia in a tertiary care centre

The aim was to study the clinical profile and outcome of term asphyxiated newborns admitted to our hospital. This was a retrospective observational study conducted from July 2013 to August 2014. Sixty newborn babies, who fulfilled the selection criteria, were included in the study. Out of 1167 admissions, 60 cases (5.1%) were diagnosed of birth asphyxia with APGAR score of </=6 at 5 minutes. Thirty four babies (56.66%) were inborn and 26 babies (43%) were outborn. Forty two babies (70%) were found to be males and 18 (30%) were females. Majority of the babies i.e. 80% (48cases) were appropriate for gestational age, 16% (10 babies) were IUGR babies and 3% (2 babies) were large for gestational age. Majority of them (70%) were delivered vaginally, 15 babies (25%) by caesarian section and 3 babies (5%) by instrumental delivery. Out of the total, it was found that 40% had meconium stained liquor, 13.3% mothers had PIH, 11.6% had PROM and 3 (5%) had cord prolapse. Of the total, hypoxic ischaemic encephalopathy (HIE) was diagnosed in 31.7%, with stage I in 52.6%, stage II in 31.5% babies and stage III in 15.7% babies. ABG analysis showed moderate acidemia in 65% and severe in 35%. The mortality was 8% (5 babies). All the three HIE stage III cases died and the remaining 2 cases died of MAS with early onset sepsis. <!--=6 at 5 minutes. Thirty four babies (56.66%) were inborn and 26 babies (43%) were outborn. Forty two babies (70%) were found to be males and 18 (30%) were females. Majority of the babies i.e. 80% (48cases) were appropriate for gestational age, 16% (10 babies) were IUGR babies and 3% (2 babies) were large for gestational age. Majority of them (70%) were delivered vaginally, 15 babies (25%) by caesarian section and 3 babies (5%) by instrumental delivery. Out of the total, it was found that 40% had meconium stained liquor, 13.3% mothers had PIH, 11.6% had PROM and 3 (5%) had cord prolapse. Of the total, hypoxic ischaemic encephalopathy (HIE) was diagnosed in 31.7%, with stage I in 52.6%, stage II in 31.5% babies and stage III in 15.7% babies. ABG analysis showed moderate acidemia in 65% and severe in 35%. The mortality was 8% (5 babies). All the three HIE stage III cases died and the remaining 2 cases died of MAS with early onset sepsis.--> Author(s): Siva Saranappa S B, Chaithanya C Nair, Madhu G N, Srinivasa S, Manjunath MN

Abstract Full Text PDF