ทารกแรกเกิดที่มีภาวะขาดออกซิเจนในโรงพยาบาลประจวบคีรีขันธ์

บทคัดย่อ

          A retrospective study of Perinatal Asphyxia at Newborn unit Prachuapkhirikhan Hospital between October 1^st 1992 to September 30^th 1995 were analysed. There were 59 patients, 38 patients (64.41%) from labour unit of Prachuapkhirikhan hospital and 21 patients (35.59 %) from referral system. The trend of Perinatal Asphyxia death rate was elevated 30, 35 and 42.11 percent respectively and the average rate was 35.59 percent. They were 27 normal labour, 1 forceps extraction, 2 Vacuum extraction and 29 caesarean section.

          The results revealed that risk factors significantly associated with perinatal death were gestational age, birth weight, congenital malformations, apgar score at 5 minute, infection and convulsion. It was found that antenatal care, neonatal care and effective referal system will reduced morbidity and mortality.