Qualitative study of asphyxia baby management in the perinatology room of Dr. M. Yunus Hospital Bengkulu year 2017 (original) (raw)
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Management of birth asphyxia at home and health center
Paediatrica Indonesiana, 1999
Birth asphyxia is the main cause of death in newborns and is an emetgency situation that need immediate action. In Indonesia more than 60% of deliveries are attended by traditional birth attendants. Although infant mortality has decline significantly in the last decade, the neonatal component of IMR however remain the same. The ddinition of birth asphyxia recommended by World Health Organization is: A newborn infant who does not cry and who does not breath or has poor breathing efforts soon after birth. The paper present the result of a field study conducted in Tanjungsari (West ..Java). The study is part of a multicountry study conducted in four countries organized by World Health Organization. TBAs were trained in the basic steps of resuscitation starting from drying, stimulation, suction and providing. Positive Pressure Ventilation using a tube and mask device on infants with birth asphyxia Community midwives were trained in the same procedure and additional training for cardiac massage. Tqm work between TBA and CM was stressed. More infants with birtl1 asphyxia survive, one fr sh Still born infant survive after vigorous resuscitation. Although the result looks promising, close supervision and regular refreshing courses are necessary to have a significant impact on neonatal mortality.
Neonatal asphyxia is a condition in which a baby can not breathe spontaneously and regularly soon after birth so can cause infant growth is not optimal due to lack of oxygen from the mother to the fetus that can cause the baby hypoxia. The occurrence of asphyxia due to several factors such as maternal age, gestational age, parity, birth weight, type of delivery and prolonged labor. This is a descriptive study that aims to describe the causes of neonatal asphyxia in newborns in Perinatology space Hospital Dr. Pirngadi MedanTahun 2014. This study was a survey, and the population in this study were all women who give birth to babies with neonatal asphyxia, amounting to 90 people. The result showed that majority of respondents (80%) age <20 years, 41.3% of respondents preterm gestational age (28-36 weeks), 47.4% of respondents grandemultipara (number of children> 5), 51.1% of respondents having a baby with normal birth weight, 57.1% of respondents do not normal childbirth and 59.3% of respondents who gave birth to a baby with neonatal asphyxia experienced prolonged labor. Mother suggested to give more attention to health both before and after childbirth and health workers also to improve their knowledge and skills in performing the management of asphyxia by means ranging from aspects promotive, curative, rehabilitative so that mortality and morbidity in infants decreased.
Clinics in Mother and Child Health, 2017
Introduction: The greatest gap in newborn care is often during the critical first week of life when most neonatal and maternal deaths often occur at home and without any contact with the formal health sector. Some unacceptable practices such as unskilled attendants during delivery, unhygienic delivery practices, taboos and superstitions associated with caring for the newborn greatly affect newborn survival in Ethiopia. The aim of this study is to identify the prevalence and associated factors of birth asphyxia among babies born in Dilchora referral hospital. Methods and materials: Hospital based retrospective study design was used among babies born in Dilchora referral hospital of three years of study period from 1 st July 2014 to 30 th June 2017 and admitted to NICU with APGAR score <7 at 5 th min. Data was collected by two data collectors by reviewing NICU registration book. Result: Of 9738 babies born in the study period, 302 (3.1%) had birth asphyxia from our records; but only 246 (81.5%) case files with complete documentations were retrieved, giving a prevalence of 2.5% or 25/1000 live birth. Age ranges between 15 to 25 (AOR, 0.04; CI 0.03-0.07) and (AOR, 0.02; CI 0.050-0.091) Who were illiterate (AOR, 0.08; CI 0.035-0.049) and who were primary educational level (AOR, 0.04; CI 0.023-0.043) Born with vacuum delivery AOR, 0.042; CI 0.082-0.043) and Forceps delivery (AOR, 0.05; CI 0.06-0.09) duration of labour <18 h (AOR, 0.017; CI 0.012-0.9) were important determinant factors for birth asphyxia. Conclusion and recommendation: Prevalence of birth asphyxia was almost close to the national prevalence 29/1000 live births. APGAR score at 5 th min were 204 (82.9%) 4-6 and 42 (17.1%) 0-3 scores. Two hundred nineteen (89%) of babies were discharged; while 27 (11%) died. So higher official of regional health bureau and hospital administrators as well NGOs should have to act collaboratively in order to improve poor birth outcome.
A STUDY ON BIRTH ASPHYXIA AT TERTIARY HEALTH CENTRE
National Journal of Medical Research, 2013
Background: Birth asphyxia is an important cause of morbidity and mortality in neonatal period. Methodology: This was the cross sectional study conducted in the tertiary care centre of Ahmedabad on the full term babies with birth asphyxia. The maternal, fetal and newborn correlates were recorded according to predesigned proforma. Results: There were total 401 (6.6%) babies born with apgar score of less than 7 at one minute and among them, 320 (79.8%) were full term babies and 81 (20.2%) were preterm babies. Among the babies 52.5% were male, 56.9% were primigravida, and only 41.9% had antenatal care present, 42.2% had MSL and 47.2% were small for date babies. Conclusion: Birth asphyxia is common the babies of the mother who had not received proper antenatal care. Maternal anaemia, primipara, meconium stained liquor babies have more chances of getting birth asphyxia.
Background: Perinatal asphyxia a leading cause of mortality and morbidity in under 5 years age group is a manifestation of both maternal and child health status of a country. Identifying both maternal and fetal health risk factors contributing to perinatal asphyxia, proper intervention and appropriate newborn care and follow up of NICU graduates can plummet the health burden of asphyxia. Our study aims at identifying both maternal and fetal risk factors precipitating perinatal asphyxia, monitoring the outcome of asphyxia on standard treatment protocol, and follow up of surviving asphyxiated babies and their neurological impairment. Materials and Methods: It's a combination of cross sectional descriptive and observational prospective single center based study with a cohort of 98 newborns who satisfied the inclusion criteria and got enrolled consecutively. The study was conducted at Pediatric Medicine department at a tertiary care hospital over a time period of 1 year from May 2018 till April 2019. We followed the definition of perinatal asphyxia enunciated by WHO and NNF, and excluded babies with birth weight < 1500gm or with major congenital anomalies. Results: Out of 98 enrolled newborn who suffered perinatal asphyxia, 6 babies died during hospital stay and rest 92 got discharged and they were followed up till next 6 months. The mean maternal age is 23.98 ± 3.38 years and mean birth weight of the babies were 2.34 ±0.38 kg , with Anemia being the commonest maternal risk factor (34.69%) and preterm delivery (42.85%) was the commonest fetal risk factor. Vaginal delivery (73.47%) being the commonest mode of delivery and most of the labour cases were booked (75.5%) and multigravida (52.04%). 68.3% babies suffered mild to moderate asphyxia and rest 31.6% had severe asphyxia but total 55% total had hypoxic-ischemic encephalopathy(HIE) consequences. There was variable level of organ damage with perinatal asphyxia and most of them had statistically significant correlation with extent of asphyxia except necrotizing enterocolitis (NEC). On post discharge 6 months follow up we recorded and found, 26.08% having feeding problem, 19.55% having microcephaly, 22.83% neurological problem as per Hammersmith infant neurological examination chart (HINE) , 7.6% having hearing loss, 17.39% having vision problem. Conclusion: Anemia correction, adequate antenatal care, essential newborn care and socioeconomic elevation can bring down incidence of perinatal asphyxia. Also early neurological assessment of newborn can detect anomaly and an early intervention will minimize neurological handicap due to neuronal plasticity.