Maternal factors contributing to asphyxia neonatorum

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dc.contributor.authorHall D.R.
dc.contributor.authorSmith M.
dc.contributor.authorSmith J.
dc.date.accessioned2011-05-15T16:17:13Z
dc.date.available2011-05-15T16:17:13Z
dc.date.issued1996
dc.description.abstractThe objective was to identify maternal risk factors for birth asphyxia, and took the form of a retrospective study over 3 years of 15,964 deliveries. The antenatal and intrapartum course of 68 mothers who delivered babies with birth asphyxia was studied. Babies < 34 weeks/≤ 2000 g at birth were excluded. A 5-min Apgar score < 6 was regarded as abnormal. The incidence of asphyxia neonatorum was 4.6/1000. Most mothers (76 per cent), resided locally, booked (91 per cent), and had satisfactory antenatal clinic attendance (average seven visits). The distribution showed a disproportionately large number of grand multiparas (10 per cent). Labour was characterized by prolonged first (49 per cent) and second (36 per cent) stages with a high incidence of meconium in the amniotic fluid (47 per cent). Most deliveries (53 per cent) were by caesarian section of which 44 per cent were performed for fetal distress. Meconium aspiration was common (34 per cent). High risk signs in labour can be recognized. The judicious use of the partogram, fetal scalp blood pH, and amino-infusion are encouraged.
dc.description.versionArticle
dc.identifier.citationJournal of Tropical Pediatrics
dc.identifier.citation42
dc.identifier.citation4
dc.identifier.issn01426338
dc.identifier.urihttp://hdl.handle.net/10019.1/14124
dc.subjectamnion fluid
dc.subjectapgar score
dc.subjectarticle
dc.subjectblood ph
dc.subjectcesarean section
dc.subjectfemale
dc.subjectfetus distress
dc.subjecthuman
dc.subjectlabor
dc.subjectmajor clinical study
dc.subjectmeconium
dc.subjectmeconium aspiration
dc.subjectmultipara
dc.subjectnewborn hypoxia
dc.subjectprenatal care
dc.subjectretrospective study
dc.subjectrisk factor
dc.subjectscalp
dc.subjectAsphyxia Neonatorum
dc.subjectCesarean Section
dc.subjectFemale
dc.subjectHumans
dc.subjectIncidence
dc.subjectInfant, Newborn
dc.subjectParity
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectPregnancy, High-Risk
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.titleMaternal factors contributing to asphyxia neonatorum
dc.typeArticle
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