Study of neuro developmental outcome of hypoxic ischemic encephalopathy of less than one-year infant in a tertiary care institute

Arati Behera, Mangal Charan Murmu, Rasmita Sahoo

Abstract


Introduction: Perinatal asphyxia can lead to hypoxic ischemic encephalopathy (HIE). The mortality due to hypoxic ischemic encephalopathy is as high as 28.8% and morbidity is 30% of surviving new-born due to hypoxic ischemic encephalopathy. Aim & Objective: To study the neuro developmental outcome of surviving neonate with hypoxic ischemic encephalopathy till one year of age and to give early stimulation to such baby to decrease the morbidity. Material & Method: It is a hospital based prospective study done in tertiary care hospital in SCB Medical College Hospital & SVP PG Institute, Cuttack from July 2015 to June 2017. Result: The incidence of asphyxia neonatorum among the babies in normal delivery was very high compared to the babies of lower section caesarean section (LSCS) delivery. Severity of birth asphyxia was high in face presentation, followed by breech than normal vertex presentation. Respiratory distress was found to be associated with neonatal asphyxia in this study. Mortality is highest in severe encephalopathy and least in mild variety. In follow, up study neuro developmental abnormality is found to be 100% in HIE-III. 34.4% in HIE-II and normal development in stage– I HIE. Conclusion: Institutional delivery with trained personal with neonatal resuscitation at first golden minute will prevent birth asphyxia. Timely screening of asphyxiated babies and early sensory stimulation decreases the morbidity in asphyxiated newborn.

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