This year has seen an array of events and exhibitions to mark 50 years since the 1968 protests that shook the world. doi: 10.1136/ Stedelijk Museum’s show celebrates the Dutch city as a site of playful and creative counterculture in the late Sixties Strength of association between umbilical cord pH and perinatal and long term outcomes: systematic review and meta-analysis. The value of a scoring system for hypoxic ischaemic encephalopathy in predicting neurodevelopmental outcome. Thompson CM, Puterman AS, Linley LL, et al. A clinical and electroencephalographic study. Neonatal encephalopathy following fetal distress. A systematic review of the role of intrapartum hypoxia-ischemia in the causation of neonatal encephalopathy. Graham EM, Ruis KA, Hartman AL, Northington FJ, Fox HE. “Neonatal encephalopathy and neurologic outcome.” The American College of Obstetricians and Gynecologists, American Academy of Pediatrics. FHR monitoring alone is not a reliable tool for detecting the probability of eventual asphyxia.įetal heart rate monitoring Hypoxic-ischemic encephalopathy asphyxia sentinel events Nulliparity Umbilical artery pH.Īmerican College of Obstetricians and Gynecologists. In absence of risk factors, the probability of developing perinatal asphyxia resulted extremely low.
We identified at least one risk factor associated with all cases of HIE and with most cases of perinatal asphyxia. 40.2% cases of asphyxia and 18.8% cases of HIE were not preceded by sentinel events or abnormal FHR. Sentinel events occurred in 23.5% of the cases and FHR was category II or III in 50.5% of the cases. Pregnancies resulting in asphyxiated neonates were classified as class 1) 1.1%, 2) 52.3%, 3) 3.2%, and 4) 43.4%. Incidence of HIE was not different between Hub and Spokes. HIE occurred in 16/281 (5.7%) neonates: four grade I, eight grade II and four grade III. Overall, 12/281 were treated with hypothermia. 32/213 (15%) neonates were transferred from Spokes to Hub. In the first six hours of life asphyxiated neonates were evaluated using the Thomson score (TS): if TS ≥ 5 neonates were transferred to Hub for further assessment if TS ≥ 7 hypothermia was indicated. Pregnancies were divided into four classes: 1) low risk 2) antepartum risk 3) intrapartum risk 4) and both ante and intrapartum risk. FHR monitoring was classified in three categories according to the American College of Obstetricians and Gynecologists (ACOG).
Neonates of gestational age ≥ 35 weeks, birthweight ≥1800 g, without lethal malformations were included if diagnosed with perinatal asphyxia, defined as pH ≤7.0 or Base Excess (BE) ≤ - 12 mMol/L in Umbical Artery (UA) or within 1 h, 10 min Apgar 10 min. We did a prospective observational cohort study from a network of four hospitals (one Hub center with neonatal intensive care unit and three level I Spoke centers) between 20. The objective of our study was to evaluate the association between perinatal asphyxia and hypoxic-ischemic encephalopathy (HIE) with the presence of ante and intrapartum risk factors and/or abnormal fetal heart rate (FHR) findings, in order to improve maternal and neonatal management.
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