Original Contribution
Prevalence of Morbidity Pattern & Immediate Outcome of Perinatal Asphyxia in a SCANU of 250 Bed District Hospital in Jamalpur
Khaleque MA,1 Islam MT,2 Mridha S,3 Begum S,4 Asaduzzaman M,5 *Jahan MS6
- Md. Abdul Khaleque, Associate Professor & Head of Department, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur. abdulkhaleque623@gmail.com.
- Md. Tazul Islam, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
- Selim Mridha, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
- Shahanaz Begum, Senior Consultant, Department of Gynaecology & Obstretics, Shaheed Sayed Nazrul Islam Medical College, Kishorgonj.
- Mohammad Asaduzzaman, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
- *Dr. Md. Saruar Jahan, Registrar, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur. msaruar.jahan@gmail.com
* For correspondence
Abstract
Background: Perinatal asphyxia (PNA) is a leading cause of infant morbidity and mortality worldwide. Although significant progress has been made in reducing the impact of infectious diseases, much remains to be seen in reducing the threat of perinatal asphyxia, particularly in developing countries.
Objective: The aim of present study is to evaluate the prevalence of morbidity pattern and immediate outcome of perinatal asphyxia in a scanu of 250 bed district hospital in Jamalpur.
Method: This cross-sectional study was conducted among 424 patients from 01.01.2023 to 30.06.2023 in newly shaped Special Care Neonatal Unit (SCANU) of 250 bed district hospital in Jamalpur, Bangladesh.
Results: In our study, maximum (62%) babies were male and 38% of them were female. 80.1% babies had the gestational age of 37 to 40 weeks, 51.4% babies were delivered in clinic. Maximum (80.3%) babies were from rural population. Maximum (128) mothers had abortion, 99 mothers had trial of oxytocin, 84 had obstetric labour, 65 had multiple parity, 46 had still birth and 5 had primi cases. 246 mothers had no adverse medical conditions but 76 had premature leaking, 27 had HTN, 16 had PROM, 15 had anemia, 9 had DM, 5 had PET, 3 had APH and 2 had heart disease. Maximum babies (297) had spontaneous cry, 127 had delayed cry, 126 needed oxygen inhalation and 5 had needed resuscitation. Among the complications, maximum babies had respiratory distress (288) and convulsion (109). Maximum (61%) patients had PNA and Hypoxic-ischemic encephalopathy (HIE) stage 2, 33% patients had only PNA and 6% patients had PNA and HIE stage 1.
Conclusion: In this study, we discovered that asphyxiated babies had significantly higher levels of the identified risk factors as well as neonatal complications. Even with our limited resources, the majority of these could have been avoided.
[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):79-85]
DOI: https://doi.org/10.69699/ssnimcj2024v9i2a6
Keywords: Perinatal Asphyxia, Neonates, Morbidity pattern
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