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J Perinatol. 2009 Mar;29(3):243-9. doi: 10.1038/jp.2008.192. Epub 2008 Nov 27.

Birth asphyxia survivors in a developing country.

Author information

1
Department of Pediatrics, Saint Louis University, Saint Louis, MO 63104, USA. dhallor2@slu.edu

Abstract

OBJECTIVE:

Determine the baseline incidence of birth asphyxia in neonatal intensive care unit (NICU) survivors in a developing country and the early neurodevelopmental outcomes of such infants.

STUDY DESIGN:

This cross-sectional, prospective study collected diagnostic and examination findings on all infants seen in the University of Zambia NICU follow-up clinic over a 4-week period.

RESULT:

Of the 182 infants, 42 (23%) had a clinical diagnosis of birth asphyxia. Of 42 infants with birth asphyxia, 13 (31%) had an abnormal neurologic examination during the clinic visit; in contrast, 13 of 141 infants without birth asphyxia (9%) had an abnormal examination (odds ratio 4.4, 95% confidence interval: 1.8, 10.4).

CONCLUSION:

Birth asphyxia survivors account for almost a quarter of NICU survivors in a developing country and half of those with an abnormal neurologic examination. Studies are necessary to determine the percent of birth asphyxia survivors who have permanent motor and cognitive disabilities.

PMID:
19037228
PMCID:
PMC3807866
DOI:
10.1038/jp.2008.192
[Indexed for MEDLINE]
Free PMC Article

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