DOI: 10.36347/sjams.2019.v07i11.019

Pages: 3584-3587

Introduction: Perinatal asphyxia is the most common cause of neonatal morbidity and mortality in the world. Electrolyte imbalance is very common in the immediate post asphyxiated period and it effects on neonatal outcome. In Bangladesh like other developing countries, perinatal asphyxia is considered as one of the major cause of death and disability of newborn. Aim of the study: The aim of this study was to evaluate the serum sodium, potassium and calcium levels in postnatal period of asphyxiated newborns and the immediate outcome. Methods: This prospective observational study which was conducted in the Department Paediatric Medicine of Dr. MR Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh during the period from July 2018 to December 2018. In total 72 asphyxiated babies attended in selected hospital were finalized as study population. For collecting data MS-Excel and for analyzing data SPSS version were used. Result: In analyzing the serum sodium levels of the participants we found, 47 patients were with normal serum sodium level which was 69.9% and rest 25 patients which were 30.1% had hyponatremia. Not a single patient was found with hypernatremia. On the other hand in analyzing the serum potassium levels of the participants we found, the highest number of patients were with normal potassium level which was 73.61% (n=53) among all the participants. Then 14 (19.44%) patients had hyperkalemia and 5 (6.94%) patients had hypokalemia. Conclusion: The early identification and time-based intervention of electrolyte imbalance in the early post asphyxiated period can significantly reduce the morbidity and mortality. For getting more specific findings we would like to recommend for conducting more studies regarding the same issue with larger sized sample.