Outcome Assessment of Perinatal Asphyxia in Neonates: Study in a district hospital

Abstract

Perinatal asphyxia (also known as neonatal asphyxia or Perinatal Asphyxia in children) is the medical condition resulting from deprivation of oxygen to a newborn infant that lasts long enough during the delivery process to cause physical harm, usually to the brain. Perinatal Asphyxia in children is defined by the World Health Organization (WHO) "the failure to initiate and sustain breathing at birth". There were 102 live births asphyxia neonates whose were clinically diagnosed and admitted in several private clinics in Jamalpur, Bangladesh during January 2017 to December 2017 were selected as study subjects. The aim of this study was to assess the outcome of perinatal asphyxia in neonates. Clinical information was collected retrospectively from maternal records (maternal age, gravida, type of delivery, presence of meconium, induced or spontaneous labour, and pregnancy complications. The NICU records provided additional information about new born infant.The outcome of treatment in babies with Perinatal Asphyxia in children showing in (Table 3) Recovery rate in group one (HIE I) was 14(13.78%) , in group two (HIE II) was 75(73.52) and in group three (HIE III) was 05(4.9%) and Death ratio was in group one (HIE I) was 1(0.98%) , in group two (HIE II) was 2(1.96%) and in group three (HIE III) was 05(4.90%). The morbidity and mortality in cases of Perinatal Asphyxia in children the highest causes of death in stage 3(HIE III). Preterm with Hyaline membrane disease was 4(3.92%) and then the higher causes of death in stage II was Neonatal sepsis 3(2.94%). Perinatal Asphyxia in children was one of the commonest causes of admission and mortality in NICU and others beds. Babies with HIE Stage III had a very poor prognosis. Perinatal Asphyxia in children combined with other morbidities was associated with a higher mortality. Sepsis is the commonest morbidity in cases of Perinatal Asphyxia in children. Maternal gravida, pregnancy complication with PROM, meconium, APH, emergency caesarean section, preterm and in addition male sex were the risk factors for Perinatal Asphyxia in neonates.