Long term outcome of birth asphyxiated infants

H A Begum1, A Rahman, S Anowar

  • 1Shaheed Suhrawardi Hospital, Dhaka.

Insights

Birth asphyxia in neonates can lead to significant long-term neurodevelopmental issues, with a high incidence of severe handicaps observed. Neonatal seizures are strongly associated with poor outcomes, highlighting the need for prevention.

Area of Science:

  • Pediatrics
  • Neonatology
  • Neurodevelopmental Pediatrics

Background:

  • Birth asphyxia is a critical condition in neonates.
  • Long-term neurodevelopmental sequelae are a concern for survivors of birth asphyxia.

Purpose of the Study:

  • To determine the incidence of long-term neurodevelopmental sequelae in neonates surviving birth asphyxia.
  • To identify potential risk factors associated with these sequelae.

Main Methods:

  • Prospective study of 58 neonates who survived birth asphyxia.
  • Follow-up evaluations at a Child Neurology Clinic up to 2 years of age.
  • Assessment of growth and development, with age correction for prematurity.

Main Results:

  • Only 51.7% of the study cohort completed the 2-year follow-up.
  • At 2 years, 40% had normal development, while 16.6% exhibited severe neurodevelopmental handicaps.
  • Neonatal seizures were present in 61% of handicapped children and were linked to poorer outcomes.

Conclusions:

  • Follow-up response was unsatisfactory, with a high rate of severe handicaps.
  • Post-asphyxia seizures are associated with adverse neurodevelopmental outcomes.
  • Prevention of perinatal asphyxia is crucial, and further long-term studies are warranted.

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