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[Analysis of 366 cases of neonatal asphyxia]
Y Xu1
1PUMC Hospital, Beijing.
Abstract:
366 cases of neonatal asphyxia were studied during 1983-1988. Different management regimes were used for neonatal asphyxia of different causes. The occurrence of neonatal asphyxia decreased from 4.9% in 1983 to 3.0% in 1988 in this hospital. Conversely, the occurrence of high risk pregnancy increased from 76.2% to 80.9% during the same period. Umbilical cord problems, hypertonic and too frequent uterine contractions, placental insufficiency and prolonged labor were the main causes of neonatal asphyxia. Use of magnesium sulphate for hypertonic contraction, correct estimation of fetal weight, and early diagnosis and selection of indications of C.S. are important for the prevention of neonatal asphyxia. Antepartum diagnosis and management of cord problems have already been discussed.