| Autor: |
Yelamali, B. C., Panigatti, Pushpa, Pol, Ramesh, Talawar, K. B., Naik, Sanjay, Badakali, Ashok |
| Předmět: |
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| Zdroj: |
Medica Innovatica; Dec2014, Vol. 3 Issue 2, p77-83, 7p |
| Abstrakt: |
Introduction: Birth asphyxia is the cause of death of 0.92 million newborn annually. During neonatal period 4 million babies die yearly. Over three quarters of these deaths are due to three major causes like serious infection (28%), complication of preterm birth (26%) and birth asphyxia (23%). Objective: To study the outcome of newborn with birth asphyxia and also the factors responsible for outcome of asphyxiated newborns. Materials and Methods: This is a retrospective study on newborns with the diagnosis of birth asphyxia at SNMC and HSK hospital and research centre, Bagalkot. We studied 163 consecutive asphyxiated neonates who were admitted in our neonatal unit and fulfilled the inclusion criteria. Clinical information was collected retrospectively from maternal records, NICU records and referral notes. Results: Of the total 1842 admissions, 163 (8.8%) babies were asphyxiated. There were more males than females 106(65%) and 57(35%) respectively. In our study, 72.39% of babies were admitted to neonatal ward within 4 hours, 17.17% between 4 to 24 hours and 10.42% between 24 to 72 hours of delivery. Early admission to NICU had better outcome compared to late admission. Among the total 163 newborns of birth asphyxia that fulfilled the inclusion criteria, 33(20.24%) newborns died. Of which, there was no mortality in HIE stage I, mortality in HIE stage II were 3(1.84%) and HIE stage III were 30(18.4%). The recovery rate of HIE stage I, HIE stage II and HIE stage III were 98.36%, 75% and 32.85% respectively. Mortality and morbidity were more common in outborn babies compared to inborn babies. Conclusion: It is the commonest cause of hospital admission of a newborn to NICU. Early referral has better outcome. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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