Title: Evaluation of Clinical Predictors and Outcome in Newborn with Hypoxic Ischemic Encephalopathy
Authors: Dr Jaswir Singh, Dr Baljinder Kaur, Dr Sandeep Singh
Introduction: In the present days, Neonatal encephalopathy is a heterogenous syndrome characterized by signs of central nervous system dysfunction in newborn infants often lead to long lasting detrimental neurological defect.
Material and Method: Prospective type of study was conducted on 150 infants in Obstetrics and Gynecological department of Rajindra Hospital, Patiala and admitted to Neonatology section of Department of Pediatrics with birth asphyxia and were divided into study group (delivered with perinatal asphyxia) and control group (normally delivered without any history of perinatal asphyxia).The data was recorded and subjected to statistical analysis.
Results: It was observed that out of 150 cases of group-I (study group), 87(58%) progressed into Sarnat and Sarnat stage-I had good outcome. 9 (6%) cases progressed into stage-II had poor outcome and 54(36%) in stage-III had poor outcome.
Conclusion: Major cause of morbidity and mortality is birth asphyxia which indicates the need for early detection of maternal risk factors and better obstetric management.
Keywords: neonate, encephalopathy, perinatal, hypoxic.