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Does early referral to tertiary care decrease the mortality related to birth asphyxia?

Tipu Sultan1, Sajid Maqbool

  • 1Department of Paediatric Medicine, The Children's Hospital and The Institute of Child Health, Lahore. tipusultanmalik@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|March 18, 2006
PubMed
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Timely referral of newborns with birth asphyxia to tertiary care hospitals significantly improves outcomes. Delayed arrival dramatically increases mortality rates, highlighting the importance of prompt medical intervention for asphyxiated infants.

Area of Science:

  • Neonatal Medicine
  • Perinatal Health
  • Pediatric Critical Care

Background:

  • Birth asphyxia is a significant cause of neonatal mortality and morbidity.
  • Timely medical intervention is crucial for improving outcomes in affected newborns.
  • Understanding the impact of referral timing can optimize neonatal care strategies.

Purpose of the Study:

  • To investigate the association between the timing of referral for newborns experiencing birth asphyxia and their subsequent clinical outcomes.
  • To determine if earlier hospital arrival correlates with better survival and recovery rates.

Main Methods:

  • An observational study was conducted on 150 newborns diagnosed with birth asphyxia.
  • Newborns were categorized into two groups based on arrival time: within 12 hours (Group A) and between 12-48 hours (Group B).

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  • Outcomes were classified as good (discharge in stable condition) or poor (mortality during neonatal unit stay). Statistical analysis, including the Chi-square test, was employed.

    • Main Results:

    • A significant difference in mortality was observed between the groups: 24% in Group A versus 76% in Group B (p-value < 0.001).
    • The majority of births (61%) occurred at home, with only 14% originating from tertiary care centers.
    • Maternal antenatal care varied, with many visits to untrained or semi-trained personnel.

    Conclusions:

    • Earlier referral of asphyxiated newborns to tertiary care facilities is strongly associated with significantly better outcomes.
    • Prompt recognition and management of birth asphyxia are critical for reducing neonatal mortality and morbidity.
    • The study underscores the importance of timely access to specialized neonatal care for improving survival rates.