Contents Chapter Topic Page Neonatology Respiratory Cardiology
Contents Chapter Topic Page Neonatology Respiratory Cardiology
Contents Chapter Topic Page Neonatology Respiratory Cardiology
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A. Definition<br />
Birth Asphyxia<br />
There is no accepted definition. It is a result of a combination of hypoxia and<br />
hypoperfusion and affects many organ systems of which the cerebral complication is the<br />
most devastating.<br />
B. Incidence of Birth Asphyxia<br />
C. Diagnosis<br />
Depends on definition used and ranges from 3.7 to 9/1000 livebirths (average of<br />
6/1000 LBs)<br />
Depression of Apgar score of 5 in 5 min. is 4/1000 (Levene 1986)<br />
Hypoxic ischaemic Encephalopathy (HIE) 5-6/1000 term infants and<br />
1 per 1000 dies or survives with neurological damage. 1<br />
1. Meconium staining of amniotic fluid may be an indicator of foetal distress or<br />
intrapartum hypoxia.<br />
2. Abnormal CTG tracing is sometimes present.<br />
3. Acidosis. A low umbilical cord pH is a better indicator of perinatal asphyxia than the<br />
Apgar score 2-4 A pH of
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