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The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
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Perinatal Asphyxia from the Obstetric Standpoint: Diagnosis and Interventions
Christina A Herrera1, Robert M Silver1
1Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT 84132, USA; Department of Maternal Fetal Medicine, Intermountain Healthcare, 121 Cottonwood Street, Murray, UT 84157, USA.
Clinics in Perinatology
|August 16, 2016
Summary
Perinatal asphyxia, a cause of neonatal encephalopathy, often stems from chronic maternal/fetal conditions, not just birth events. Early screening and interventions like intrauterine resuscitation can mitigate risks and improve neurological outcomes.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Perinatal Medicine
Background:
- Perinatal asphyxia is a leading cause of neonatal encephalopathy.
- It results from oxygen deprivation causing neurological injury.
- While often linked to birth events, many cases originate from chronic maternal or fetal conditions.
Purpose of the Study:
- To review the causes and management of perinatal asphyxia.
- To highlight the role of antenatal screening and interventions.
Main Methods:
- Review of existing literature on perinatal asphyxia.
- Discussion of diagnostic tools like ultrasound and Doppler velocimetry.
- Analysis of potential interventions such as intrauterine resuscitation and operative delivery.
Main Results:
- Perinatal asphyxia is frequently associated with pre-existing maternal or fetal issues.
- Obstetric emergencies are common intrapartum causes, though not always preventable.
- Antenatal screening can identify high-risk fetuses.
Conclusions:
- Identifying high-risk pregnancies is crucial for preventing hypoxic-ischemic encephalopathy.
- Timely interventions can reduce the severity of perinatal asphyxia.
- Improved management strategies can lead to better long-term neurologic outcomes for neonates.
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