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Is intrapartum asphyxia preventable?

J-C Becher¹, B J Stenson, A J Lyon

¹Department of Neonatology, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK. julie-clare.becher@luht.scot.nhs.uk

BJOG : an International Journal of Obstetrics and Gynaecology

|September 20, 2007

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Intrapartum asphyxia rates significantly decreased between 1994 and 2005, indicating that many cases of birth asphyxia and hypoxic-ischaemic encephalopathy are preventable with improved perinatal care.

Area of Science:

Perinatal Medicine
Neonatal Neurology
Obstetrics

Background:

The causes and preventability of intrapartum (during birth) asphyxia remain debated.
Asphyxia contributes to significant neonatal mortality and morbidity.

Purpose of the Study:

To analyze trends in intrapartum asphyxia-related mortality and morbidity.
To assess the potential preventability of these adverse outcomes.

Main Methods:

Retrospective analysis of data from a single large regional perinatal center.
Examination of asphyxia and hypoxic-ischaemic encephalopathy rates between 1994 and 2005.

Main Results:

A significant decline in the rate of asphyxia from 2.86 to 0.91 per 1000 births (P < 0.001).

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A corresponding decrease in hypoxic-ischaemic encephalopathy rates from 2.41 to 0.77 per 1000 live births (P < 0.001).

Conclusions:

The observed substantial and steady reduction suggests intrapartum asphyxia is often preventable.
These findings highlight the impact of improved perinatal care on reducing birth asphyxia.