Abstract
Introduction: Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Methodology: It was a six-months’ case-control study involving 117 parturients whose babies presented with a nuchal cord at delivery. The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon, from January 1st to June 30th 2013. Results: The risk factors of clinical birth asphyxia identified were: first delivery, absence of obstetrical ultrasound during pregnancy, nuchal cord with more than one loop, duration of second stage of labor more than 30 minutes during vaginal delivery. The risk factors for newborn death from clinical birth asphyxia in the presence of nuchal cord were: maternal age
Highlights
Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting
Cesarean section should be considered when a nuchal cord is associated with first delivery, tightness or multiple looping
Among the 16 neonates with poor fifth minute Apgar score, 8 (8/117; 6.8%) died in spite of resuscitation efforts, giving an incidence of newborn death following birth of 6.8% among neonates born with a nuchal cord and presenting clinical neonatal asphyxia
Summary
Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Apart from tight nuchal cord that has been shown to be associated with fetal distress, operative delivery and perinatal death [1], little is known concerning the risk factors of birth adverse outcome in the presence of nuchal cord, especially in a sub-Saharan Africa setting. The identification of these factors in our setting is an important step in reducing perinatal morbidity and mortality related to nuchal cord. The objective of this study was to identify the risk factors of clinical neonatal asphyxia and subsequent newborn death in the presence of nuchal cord
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