Birth Asphyxia at Lampaimat Hospital, Buriram Province 2004.
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Abstract
Background: Birth asphyxia is always the most importance cause of death in perinatal period; not only death but it also leaves organ damage in survivors especially in CNS, cardiovascular system or respiratory system.
Objectives: To study risk factors which may take part to cause birth asphyxia.
Research method: Survey research.
Subject: 22 mothers whose delivery asphyxia newborns, one mother had twin pregnancy so there are 23 newborns to study. All of them laboured in Lamplaimas hospital between Januarys to December 2004.
Result: From the study of subjects above indicated that risk factors which may cause birth asphyxia include:
1) Mothernal factors, most of them were 20-34 years old, there was 9.09% teenage pregnancy and 13.64 % of eldery gravidars. Only one had twin pregnancy, 27.27% were nulliparas compared to 72.73% multiparas. Mothers whose had history of antepartum hemorrhage was 9.09%, history of hypertention during pregnant was 4.45%, history of perinatal death was 4.55%, none of them had history of Diabetes. Majorities were term pregnancies, preterm labour was about 13.64% and post term labour was 9.09%.
2) Labour factors, only 26.09% was normal labour compared to 73.91% needed intervention such as forceps extraction, vacuum extraction, breech maneuver, especially Caesarian section take part of 40.91%. There was 18.18% needed oxytocin intravenouse before delivery, and 21.74% were delay second stage of labour.
3) Newborn factors, weigh is a very important factor. 39.13% of these groups of newborn were below 2500 gms body weigh. History of meconium stained before was 4.35%, history of abnormal fetal heart rate during in labour period was 17.39%. 5 cases were breech presentation measured to 21.74%.
Conclusion: With advance technology now, there are many ways monitor or measurement fetus whose may have problem of birth asphyxia such as electrical Fetal Heart Monitoring (EFM), Amniocentesis, Fetal scalp blood sampling or ultrasonography, but all of them need expensive specific and complicated tools which must be used or interpreted by expert, these is not practical and not available in most primary hospital, so monitoring clinical risk factors is necessary to predicted this condition, then we can prevent and prepare to proper management.
Keyword: Birth Asphyxia
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References
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