6. Early Outcome of Hypoxic Ischemic Encephalopathy in Neonates Born at Nazeer Hussain Medical Complex Hyderabad
Deve Dass1, Muhammad Nadeem Chohan1 and Jai Parkas2
ABSTRACT
Objective: To assess the early outcome of Hypoxic Ischemic Encephalopathy in neonates born at Nazeer Hussain Medical Complex Hyderabad
Study Design: Descriptive / cross sectional study
Place and Duration of Study: This study was conducted at the Neonatal Ward of Nazeer Hussain Medical Complex, Hyderabad from January to December 2016.
Materials and Methods: This study was conducted to know the early outcome of birth asphyxia in neonates born at this hospital. Inclusion criteria of our study were all newborn ( term, preterm or post-term) with history of perinatal asphyxia or APGAR score at 5 minutes, < 7, or delayed crying after birth or > 10 minutes resuscitation soon after birth. Neonates having lethal anomalies like hydrops fetalis, cyanotic heart defects and congenital malformations were excluded from study. Severity of Asphyxia was assessed by the grading of H oxic Ischemic Encephalopathy. APGAR score 5-7 was labeled as mild asphyxia, 3-5 as moderate asphyxia and <3 as severe Asphyxia.
Results. In this study mostly male neonates were there 92.2% (Table 1). M st c mmon of admission was ≤ 2 days 51.2% (Table 1). Most of the neonates were ≥ 37 weeks gestational age 48.8% (Table 1). Grade 1 Hypoxic Ischemic Encephalopathy was most common 41.5% (Table 2). Most of the m thers had age between 25 to 35 years 90.2% (Table 2). Most mothers had the history of multigravida 53.7% (Table 2). Most common fetal presentation was cephalic 80.5% (Table 2). 56.1% neonates born by C-section (Table 2) . Only 7.3% mothers had history of prolonged labor (Table 2). 33% neonates died due to Hypoxic Ischem En ephalopathy (Table 3).
Conclusion: In this study most common type was grade 1 Hypoxic Ischemic Encephalopathy 37.1%. Grade 3 HIE was least common but death rate was more in it 21.9%. Death was least common in grade 1 HIE 4.26%. Key Words: Birth Asphyxia, Hypoxic Ischemic E cephalopathy, APGAR Score
Citation of articles: Dass D, Chohan MN, Parkas J. Early Outcome of Hypoxic Ischemic Encephalopathy in Neonates Born at Nazeer Hussain Medical C mplex Hyderabad. Med Forum 2017;28(8):21-24.