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Electrolyte status in birth asphyxia.

Pallab Basu1, Sabyasachi Som, Harendranath Das

  • 1Department of Biochemistry, Burdwan Medical College and Hospital, Burdwan, West Bengal, India. basu_pallab@yahoo.co.in

Indian Journal of Pediatrics
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Neonatal asphyxia is linked to early hyponatremia and hypocalcemia, with electrolyte levels correlating to asphyxia severity. Potassium levels were also elevated in affected newborns.

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Area of Science:

  • Neonatalogy
  • Pediatric Medicine
  • Biochemistry

Background:

  • Neonatal asphyxia is a critical condition affecting newborns.
  • Electrolyte imbalances are common in neonates experiencing birth asphyxia.
  • Understanding these imbalances is crucial for timely intervention.

Purpose of the Study:

  • To investigate electrolyte status (sodium, potassium, calcium) in newborns with varying degrees of asphyxia.
  • To compare electrolyte levels in asphyxiated newborns with a control group.
  • To correlate electrolyte levels with the severity of neonatal asphyxia.

Main Methods:

  • Serum samples were collected from asphyxiated newborns and controls immediately after birth.
  • Levels of sodium, potassium, and total calcium were measured.
  • Statistical analysis was performed to compare groups and assess correlations.

Main Results:

  • Asphyxiated newborns showed significantly lower serum sodium (122.1 mEq/L vs 138.8 mEq/L) and calcium (6.85 mg/dl vs 9.50 mg/dl) levels.
  • Mean serum potassium was higher in asphyxiated newborns (5.05 mEq/L vs 4.19 mEq/L).
  • Electrolyte levels correlated with Apgar scores, indicating a direct relationship with asphyxia severity.

Conclusions:

  • Hyponatremia and hypocalcemia develop early and concurrently in neonatal asphyxia.
  • The severity of hyponatremia and hypocalcemia is directly proportional to the degree of asphyxia.
  • Elevated serum potassium, though within normal limits, also correlates with asphyxia severity.