Tipu Sultan Malik, Akmal Laeeq Chishti, Tahir Masood Ahmed.
Short term Neurodevelopmental outcome of asphyxiated newborns at tertiary care unit.
Pak Paed J Jan ;31(2):58-61.

Objective: To find out the short term neurodevelopmental outcome of asphyxiated newborns. Design: Cross-sectional study using prospective data Place & duration o study: Neonatal unit of Children`s Hospital, Lahore from August, 2000 to July, 2001. Subject & methods: We included 150 cases of birth asphyxia and survivors were followed till the age of six months and neurodevelopmental status was assessed by Denver developmental screening test II (DDST-II). Severity of asphyxia was categorized as no encephalopathy, three different stages of HIE. During follow up visits, normal to delayed developmental status was expected. Results: Infants were divided into two groups. Group A included neonates without HIE and group B with encephlopathy. Among group B, newborns developmental delay was found in 9 neonates and 48 neonates died while in group A neonates there was no child who had developmental delay and only six newborns died.(P value<0.05) There were 117 (78%) males, 35 mothers (23%) had antenatal visits to trained medical professionals. Majority of mothers (76%) had their visits to non doctor personnel like midwives, lady health visitors or nurse. Majority (61%) of study population were home delivered, 24% at private clinics and maternity homes while only 14% came from hospitals. Conclusion: Different stages of HIE have strong correlation with the outcome of these neonates. More effort and resources should be directed to this preventable community problem.

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