Profile of Asphyxiated Babies at Tribhuvan University Teaching Hospital

Authors

  • M Shrestha Neonatal Division, Department of Pediatrics, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • L Shrestha Neonatal Division, Department of Pediatrics, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • PS Shrestha Neonatal Division, Department of Pediatrics, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.3126/jnps.v29i1.1592

Keywords:

Asphyxiated babies

Abstract

Objective: To assess risk factors and outcome in the early neonatal period of babies who were asphyxiated at birth.

Methodology: This was a retrospective study conducted at Tribhuvan University Teaching Hospital (TUTH) over a period of one year from 15th Feb 2007 to 14th Feb 2008. All the term babies who had Apgar score of less than < 6 at 1 minute of birth were included. Detailed maternal risk factors during pregnancy and labor were analyzed. The newborn babies who required admission in neonatal unit were again analyzed for development of hypoxic ischemic encephalopathy (HIE) and their outcome.

Results: During the study period, out of 3594 term babies, 327 babies (9%) were asphyxiated. Of the total asphyxiated babies, 85% and 15% had moderate and severe asphyxia, respectively, at 1 minute of birth. Out of these asphyxiated babies, 51% and 7% had intrapartum and maternal risk factors, respectively. Intrapartum risk factors like meconium stained liquor, non-vertex presentation, and fetal heart rate abnormalities accounted for 4 fold risk of asphyxia. Of these babies, 26% required admission in nursery and 29% developed hypoxic ischemic encephalopathy. Among the admitted babies 6% expired, 2% left against medical advice and rest were discharged.

Conclusion: Early identification and close monitoring of high risk mothers studies with maintaining partograph during labor will help to reduce neonatal asphyxia.

Key words: Asphyxiated babies

doi:10.3126/jnps.v29i1.1592

J. Nepal Paediatr. Soc. Vol.29(1) p.3-5

Downloads

Download data is not yet available.
Abstract
857
PDF
1171

Downloads

How to Cite

Shrestha, M., Shrestha, L., & Shrestha, P. (2009). Profile of Asphyxiated Babies at Tribhuvan University Teaching Hospital. Journal of Nepal Paediatric Society, 29(1), 3–5. https://doi.org/10.3126/jnps.v29i1.1592

Issue

Vol. 29 No. 1 (2009)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).