الفهرس | Only 14 pages are availabe for public view |
Abstract Perinatal asphyxia is defined as the presence of hypoxia, hypercapnia, and acidosis leading the newborn to systemic disturbances probably electrolyte disturbances also. Electrolyte disturbance is very valuable as it can be an important parameter affecting perinatal morbidity, mortality and ongoing management. Materials and methods: Observational descriptive study included 65 fullterm asphyxiated neonates, 22 newborn with clinical signs of mild HIE, 29 newborns with moderate HIE, 14 newborns of severe HIE. To study serum electrolyte disturbances in asphyxiated neonates. Serum sodium, potassium and calcium of the studied cases were sent within one hour of birth of birth, transcranial ultrasound was done within 5 days of life. Results: In our study we found that the mean values of sodium, potassium and calcium were 130.62mmol/l, 4.98mmol/l and 7.52mg/dl respectively. Apgar scores of the studied cases were significantly low at 1, 5, and 10 minutes. Cranial ultrasound was significantly correlated with sarnat stages and outcome. Conclusions: The tendency to have hyponatremia, hyperkalemia, hypocalcemia is common among cases with perinatal asphyxia which underscores the need for great vigilance in electrolytes monitoring when managing an asphyxiated baby. |