A STUDY OF CLINICAL SPECTRUM AND OUTCOME IN PATIENTS OF BIRTH ASPHYXIA

Abstract

Background - The condition Perinatal asphyxia, a crucial issue in neonatology, is a fatal condition that has a signicant impact on the infant's neurological and intellectual development, as well as new-born mortality and morbidity. This study focusses on clinical outcome in neonates with Birth Asphyxia. Aim of study –To study the clinical spectrum and short-term outcome of babies with birth asphyxia. Objectives – 1. To study the maternal and fatal risk factors responsible for the occurrence of birth asphyxia. 2. To study the clinical presentation of babies with birth asphyxia. 3. To study the short-term outcome of the affected babies. Method –Hospital Based Prospective Observational Study where 60 cases fullling inclusion criteria were included in the study. Inclusion criteria included new-borns with 1. APGAR score < 7 at 1 min of life. 2.Requiring resuscitative measures. & 3. Metabolic acidosis with pH <7.0. Result – 60 cases with birth asphyxia (APGAR score < 7 at 1 min) were reported from the total admitted to neonatal intensive care unit. 55 cases were in – born. 63.33 %. were female & 36.66 % were male, the mean birth weight was 2991.5 ± 382.5 g, and the mean gestational age was 39.5 ± 2.3 weeks. 66.66 % patients were born by normal vaginal delivery. 70 % pregnancies were Multigravida. The mortality death reported was 11.66%. 55 % cases required nasal prongs, 33.33 % supplied with Oxygen through CPAP& 11.66 % cases were on ventilation. Conclusion – In the present study higher rate of induced Vaginal Delivery, Multigravida and irregular ANC was reported among patients with perinatal asphyxia. In neonatal care, perinatal asphyxia continues to be the primary factor in neonatal ICU admissions, mortality, and morbidity. Atherapeutic hypothermia therapy with a longterm follow-up component would be advantageous given the high incidence of HIE.