WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
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Indexing

Abstract

STUDY OF ELECTROLYTE LEVELS IN THE CORD BLOOD OF BIRTH ASPHYXIATED NEONATES AND ITS CORRELATION WITH THE SEVERITY OF ASPHYXIA

Dr. Sudeshna Datta*, Dr. Rajeeva Mishra and Dr. Jagrita Malakar

ABSTRACT

Background: Perinatal asphyxia contributes significantly to neonatal morbidity and mortality in developing countries owing to its potential of causing permanent brain damage and even death of the fetus. Though there are more and more studies for understanding the mechanisms leading to birth asphyxia, studies for early determination of tissue damages due to birth asphyxia are still lacking. Objective: An observational hospital-based cross-sectional study for finding any correlation between the levels of cord blood electrolytes (sodium, potassium, calcium) in birth asphyxiated neonates in the Department of Pediatrics and Neonatology, RIMS, Ranchi. Method: In this observational study, cord blood samples of 89 inborn birth asphyxiated term neonates with birth weight 2.5-4 kg, were evaluated over a period of 12 months from June 2019 to May 2020. Inclusion criteria were term, inborn neonates, appropriate for gestational age with birth asphyxia as per WHO definition- “failure to initiate and sustain breathing at birth” and based on apgar score as an apgar score of <7 at one minute of life5 and whose attendants had given a duly signed informed consent. A detailed clinical examination was carried out as soon as the neonates were admitted. Gestational age, birth weight, relevant perinatal history, findings on physical examination were recorded on a pre-designed proforma. RESULTS: Among the 89 cases that were studied, 49 were male (55.1%) and 40 were female (44.9%). 50 cases were born by vaginal delivery (56.2%) while 39 cases were born by caesarean section (43.8%). Among the cases, 5.6% developed no HIE, 50.6% developed HIE I, 33.7% HIE II and 10.1% HIE III. Comparison of cord blood electrolytes among the cases showed that the values of sodium and calcium decreased with the severity of HIE staging. Again, the potassium levels increased to some extent as the severity of asphyxia increased, but significant correlation of potassium levels within the groups was missing. CONCLUSION: Our study compared the cord blood electrolyte levels among the cases and showed that the levels of sodium and calcium decreased with the severity of HIE and potassium levels increased to some extent. Because estimation of umbilical cord blood values of electrolytes can be routinely done in the existing medical facilities in our country, their values can be used as a valuable indicator of the severity of tissue hypoxia. Limitation to the study was a small sample size owing to the few cases of birth asphyxiated neonates born in our hospital. Hence, further studies are needed with larger sample sizes for a better correlation.

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