STUDY OF RISK FACTORS IN CHILDREN WITH BIRTH ASPHYXIA IN TERTIARY CARE HOSPITAL: OBSERVATIONAL STUDY

Abstract

Introduction: Birth asphyxia is associated with a complex list of risk factors, ranging from industrialized and non-industrialized countries. With this objective present study was planned to study of risk factors in children with birth asphyxia in tertiary care hospital.

Study Methodology: The present study was a prospective observational study conducted during last one year in our department. We included , neonates born at AVBRH who needed resuscitation (*basic and/or**advanced) at birth. While we excluded , neonates whose parents didn’t give consent. & Neonates who needed only #Initial steps of resuscitation.

Results: In our study, we reported 54 % mothers were with less than 25 years while 46% were more than 25 years. In our study, only 2% mothers were reported from upper class, 63% reported from middle class while 35 % were reported from lower class. In our study , 54 % mothers were primi while 46% were with two or more gravida.  On the basis of mothers HB count , 50% mothers were with less than 7 , 38 % were 7 to 11 while only in 12 % reported more than 11 gm%. In our study , we found 28% mothers were with PIH , 14% oligohydraminous , 12% polyhydramnious , 5% multiple gestation, 2% tobacco chewers , 6% diabetis mellitus while 7% GDM. In our study , we reported 64 % mothers as registered ANC.

Conclusion: The results of this study highlight the need for better maternal care, awareness of the causes of congenital asphyxia in obstetricians, careful monitoring of contractions, diagnosis and appropriate action can help reduce the risk of congenital asphyxia.

Keywords : Birth asphyxia , PPH , Congenital anamolies , ANC