Risk factors of perinatal asphyxia at Nishtar Hospital Multan.

  • Muhammad Faisal Mehar Nishtar Medical University Hospital, Multan.
  • Muhammad Azam Khan Nishtar Medical University Hospital, Multan.
  • Rabia Saleem Nishtar Medical University Hospital, Multan.
  • Fauzia Zafar Nishtar Medical University Hospital, Multan.
  • Ali Bakht Naqqash Nishtar Medical University Hospital, Multan.
  • Sidra Shahid Nishtar Medical University Hospital, Multan.
  • Rushan Hassan Nishtar Medical University Hospital, Multan.
Keywords: APGAR Score, Antepartum, Fetal, Intrapartum, Maternal, Neonates, Perinatal Asphyxia

Abstract

Many perinatal deaths follow birth asphyxia that occurs in babies of women who are referred on developing life-threatening obstetric complications. Objectives: To determine the antenatal and intrapartum risk factors for perinatal asphyxia among babies delivered by women admitted as emergency obstetric referrals. Study Design: Cross-sectional study. Setting: Pediatric Unit 1, Nishtar Hospital Multan, Pakistan. Period: From May 2017 to April 2018. Material & Methods: A total of 150 newborn term babies (and their mothers) with a 1, 5, & 10-minutes Apgar score 4 or less (perinatal asphyxia) were considered for the study. Antepartum and intraparturn risk factors were noted among newborn babies (and their mothers) from socio-demographic characteristics, obstetric complications or labour management. Results: Out of150 neonates, 57(38%) were presented with perinatal asphyxia at the age of 1 minute, 62(41.3%) at the age of 5 minutes and 31(20.1%) neonates were presented at the age of 10 minutes. In these cases, 45(30%) were related to maternal causes, 71(47.3%) to placental causes and 34(22.7%) to fetal cause. Conclusions: Early recognition of antepartum and intraparturn risk factors for perinatal axphyxiaamong emergency obstetric referrals, followed by prompt and appropriate management, may reduce the perinatal deaths from perinatal asphyxia.

Author Biographies

Muhammad Faisal Mehar, Nishtar Medical University Hospital, Multan.

MBBS, FCPS

Senior Registrar Pediatrics

 

Muhammad Azam Khan, Nishtar Medical University Hospital, Multan.

MBBS, FCPS

Associate Professor Pediatrics

 

Rabia Saleem, Nishtar Medical University Hospital, Multan.

MBBS, FCPS

Senior Registrar Pediatrics

 

Fauzia Zafar, Nishtar Medical University Hospital, Multan.

MBBS, DCH, FCPS

Chair Person & HOD Pediatrics

 

Ali Bakht Naqqash, Nishtar Medical University Hospital, Multan.

MBBS

PGR Pediatric

 

Sidra Shahid, Nishtar Medical University Hospital, Multan.

MBBS

PGR Pediatric

 

 

Rushan Hassan, Nishtar Medical University Hospital, Multan.

MBBS

PGR Pediatric

 

Published
2020-03-10