Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Mahmoud H Ibrahim and Moustafa N Asmaa
Objectives: We investigated the risk factors of birth asphyxia in neonates in EL-Minia University Hospital from1 January to 31 December to 2015, to identify leading perinatal risk factors causing birth asphyxia in our locality in order to prevent it. Study design this was a retrospective case - control study.
Setting: Neonatal Intensive Care Unit (NICU) of Minia University Hospital. We studied160 neonates. 80 neonates of them full filled the criteria of hypoxic ischemic encephalopathy delivered at 28-41 weeks of gestation from 1 January to 31 December 2015 and admitted to Neonatal Intensive Care Unit (NICU) of El-Minia University Hospitals. In addition to the other 80, neurologically free neonates delivered in the same period included as a control group. Data collected include information about the prenatal period, peripartum period, demographic characteristics, admission and evolution during NICU stay.
Results: We found that antepartum, intrapartum and postpartum factors are important risks leading to neonatal encephalopathy. Intrapartum factors were highly associated with birth asphyxia as prolonged 2nd stage first then meconium-stained amniotic fluid and prenatal visits<4 show a statistical significance.
Conclusion: The identified risk factors may be useful indicators for defining children at risk of developing hypoxic ischemic encephalopathy, and helpful for targeting individuals for early intervention programmes.