Birth asphyxia survivors in a developing country
- PMID: 19037228
- PMCID: PMC3807866
- DOI: 10.1038/jp.2008.192
Birth asphyxia survivors in a developing country
Abstract
Objective: Determine the baseline incidence of birth asphyxia in neonatal intensive care unit (NICU) survivors in a developing country and the early neurodevelopmental outcomes of such infants.
Study design: This cross-sectional, prospective study collected diagnostic and examination findings on all infants seen in the University of Zambia NICU follow-up clinic over a 4-week period.
Result: Of the 182 infants, 42 (23%) had a clinical diagnosis of birth asphyxia. Of 42 infants with birth asphyxia, 13 (31%) had an abnormal neurologic examination during the clinic visit; in contrast, 13 of 141 infants without birth asphyxia (9%) had an abnormal examination (odds ratio 4.4, 95% confidence interval: 1.8, 10.4).
Conclusion: Birth asphyxia survivors account for almost a quarter of NICU survivors in a developing country and half of those with an abnormal neurologic examination. Studies are necessary to determine the percent of birth asphyxia survivors who have permanent motor and cognitive disabilities.
Conflict of interest statement
The authors have no conflicts of interest to report.
Figures
Similar articles
-
Developmental trajectories of children with birth asphyxia through 36 months of age in low/low-middle income countries.Early Hum Dev. 2014 Jul;90(7):343-8. doi: 10.1016/j.earlhumdev.2014.04.013. Epub 2014 May 9. Early Hum Dev. 2014. PMID: 24815056 Free PMC article.
-
Neurodevelopmental outcome of term infants with perinatal asphyxia with hypoxic ischemic encephalopathy stage II.Brain Dev. 2017 Feb;39(2):107-111. doi: 10.1016/j.braindev.2016.09.005. Epub 2016 Sep 30. Brain Dev. 2017. PMID: 27697304
-
The role of complement in neurodevelopmental impairment following neonatal hypoxic-ischemic encephalopathy.Am J Perinatol. 2009 Oct;26(9):659-65. doi: 10.1055/s-0029-1220793. Epub 2009 Apr 23. Am J Perinatol. 2009. PMID: 19391086
-
Long-term follow-up of term neonates with perinatal asphyxia.Clin Perinatol. 1993 Jun;20(2):483-500. Clin Perinatol. 1993. PMID: 7689432 Review.
-
Birth asphyxia: a crucial issue in the prevention of developmental disabilities.Midwifery. 1990 Jun;6(2):99-107. doi: 10.1016/s0266-6138(05)80154-8. Midwifery. 1990. PMID: 1694951 Review.
Cited by
-
An assessment of immediate newborn care readiness and availability in Nepal.Glob Health Action. 2023 Dec 31;16(1):2289735. doi: 10.1080/16549716.2023.2289735. Epub 2023 Dec 12. Glob Health Action. 2023. PMID: 38085010 Free PMC article.
-
The cost-effectiveness of using performance-based financing to deliver the basic package of health services in Afghanistan.BMJ Glob Health. 2020 Sep;5(9):e002381. doi: 10.1136/bmjgh-2020-002381. BMJ Glob Health. 2020. PMID: 32958537 Free PMC article. Clinical Trial.
-
Treatment device for neonatal birth asphyxia related Hypoxic Ischemic Encephalopathy.BMC Pediatr. 2021 Nov 3;21(1):487. doi: 10.1186/s12887-021-02970-z. BMC Pediatr. 2021. PMID: 34732165 Free PMC article.
-
Prevalence and determinants of asphyxia neonatorum among live births at Debre Tabor General Hospital, North Central Ethiopia: a cross-sectional study.Afr Health Sci. 2021 Mar;21(1):385-396. doi: 10.4314/ahs.v21i1.49. Afr Health Sci. 2021. PMID: 34394321 Free PMC article.
-
Prevalence and risk factors associated with birth asphyxia among neonates delivered in Ethiopia: A systematic review and meta-analysis.PLoS One. 2021 Aug 5;16(8):e0255488. doi: 10.1371/journal.pone.0255488. eCollection 2021. PLoS One. 2021. PMID: 34351953 Free PMC article.
References
-
- Lawn JE, Cousens S, Zupan J. Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365:891–900. - PubMed
-
- Jones G, Steketee RW, Black RE, Zulfigar AB, Morris SS. Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet. 2003;362:65–71. - PubMed
-
- Bryce J, Boschi-Pinto C, Shibuya K, Black RE WHO Child Health Epidemiology Reference Group. WHO estimates of the causes of death in children. Lancet. 2005;365:1147–1152. - PubMed
-
- Kinoti SS. Asphyxia of the newborn in East, Central, and Southern Africa. East Af Med J. 1993;70:422–433. - PubMed
-
- Simon NP. Long-term neurodevelopmental outcome of asphyxiated newborns. Resuscitation Fetus Newborn. 1999;26:767–778. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical