Risk factors of perinatal asphyxia: a study at Al-Diwaniya maternity and children teaching hospital

Research Article                                                                         

Muthanna Medical Journal
Volume 2, Issue 2, December 2015, Pages 50–57
 

Hulal Saleh Sahib*

1Department of pediatrics, College of Medicine- Al-Qadissiya University Received 10 August 2015, Accepted 12 November 2015, Available online 29 December 2015.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2015 HS


Abstract

Perinatal asphyxia is a common neonatal problem that contribute significantly to neonatal morbidity and mortality. Total number of patient enrolled in our study was one-hundred seventy-one. Data collected from October 01, 2013 to the September 30, 2014. Many variables are included such as GA, BWT, gender, mode of delivery, maternal age, parity and their ANC. In addition, a number of risk factor were encountered; maternal anemia, maternal hypertension, maternal DM, PROM, prolong labor, meconium- stained amniotic fluid, maternal fever, fetal distress, multiple gestation and APH. As a result, there is no gender difference between patient and control. Among patients group, the predominant mode of delivery was induced vaginal delivery (38.02 %), most of the mothers were primipara (61.16%) with irregular ANC seen in 55.37% of them. While among control group, the predominant mode of delivery was elective CS (40%), most of the mothers were multipara (60%) with regular ANC seen in 70% of them. (88.43 % of patients had risk factor versus only 44% of control had history of risk factor). We found that higher rate of induced vaginal delivery, primiparity and irregular ANC was reported among patients with perinatal asphyxia. Risk factors was more reported in patient group than control one. The less the no. of risk factors, the more possibility of good outcome.
Keywords: Risk factor, Perinatal asphyxia, Al-Diwaniya maternity and children teaching hospital

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