DOI: 10.36347/sjams.2020.v08i05.006

Pages: 1203-1207

Perinatal Asphyxia (also known as Neonatal Asphyxia or Birth Asphyxia in children) is the medical condition resulting from deprivation of oxygen to a newborn infant that lasts long enough during the birth process to cause physical harm, usually to the brain. Perinatal Asphyxia in children is defined by the World Health Organization "the failure to initiate and sustain breathing at birth." The aim of this study was to assess the outcome of Perinatal Asphyxia in children. There were 204 live birth asphyxia neonates whose were clinically diagnosed admitted in the Department of Pediatrics, Shaheed M. Monsur Ali Medical College & 250 beded Genaral Hospital, Sirajgonj, Bangladesh during the period from January 2017 to December 2018. Clinical information was collected retrospectively from maternal records (maternal age, gravida, type of delivery, presence of meconium, induced or spontaneous labour, and pregnancy complications). The SCANU records provided additional information about new born infant (birth asphyxia, stages of Perinatal Asphyxia in children, birth weight, sex and subsequent mortality).The outcome of treatment in babies with Perinatal Asphyxia in children showing in (Table-3) Recovery rate in group one (HIE I) was 28(13.78%), in group two (HIE II) was 150(73.53%) and in group three (HIE III) was 10(4.9%) and Death ratio was in group one (HIE I) was 2(0.98%), in group two (HIE II) was 4(1.96%) and in group three (HIE III) was 10(4.90%). The morbidity and mortality in cases of Perinatal Asphyxia in children the highest causes of death in stage 3(HIE III), Preterm with Hyaline membrane disease was 4(25%) and then the higher causes of death in stage-II was Neonatal sepsis 3(18.75%). Perinatal Asphyxia in children was one of the commonest causes of admission and mortality in SCANU and others beds. Babies with HIE Stage-III had a very poor prognosis. Perinatal Asphyxia in children combined with other morbidities was associated with a higher mortality. .............