NEONATAL ASPHYXIA- DAMAGE TO NERVOUS SYSTEM- A STUDY OF 100 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 36
Abstract
BACKGROUND As many outborn babies (mostly of unbooked mothers) are admitted in our Medical College NICU, perinatal asphyxia seems to be a major factor leading to neonatal mortality and morbidity. Other than causing damage to different systems of body e.g. cardiovascular and respiratory, damage to nervous system seems to be a significant percentage in our study. MATERIALS AND METHODS 100 newborn babies were included in our study of varying birth weight, gestational age etc., but all were with history of neglected antenatal care, unattended delivery (mostly home). They presented with different features of e.g. seizures, coma, paresis, brisk jerks etc. Cranial ultrasonography was done in very critical cases. Neonatal sepsis was ruled out by ‘Sepsis Screen.’ RESULTS In a significant percentage of newborn babies with birth asphyxia (not crying after birth), blinking of eyes, apnoeic episodes, all manifestations of seizures, depressed alertness, diminished sucking and other reflexes were found. In cranial ultrasonography, a significant number of cases of periventricular vasodilatation was detected, especially in infants of early gestational age. CONCLUSION Elimination of different risk factors was identified in expectant mothers by proper antenatal care and monitoring, timely referral to higher centre, proper intervention will go a long way in preventing nervous system injury in newborn infants.
Authors and Affiliations
Shyamali Datta
Keywords
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- EP ID EP545163
- DOI 10.14260/jemds/2018/904
- Views 87
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