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MEDISAN
On-line version ISSN 1029-3019
Abstract
MORENO BORRERO, Jorge Carlos et al. Some perinatal factors associated with neonatal asphyxia . MEDISAN [online]. 2013, vol.17, n.2, pp. 187-192. ISSN 1029-3019.
A retrospective observational study was carried out in 28 infants with asphyxia at birth in "Dr. Juan Bruno Zayas Alfonso" General Teaching Hospital of Santiago de Cuba, from January 2009 to December 2011, in order to describe some prenatal, natal and postnatal variables related to clinical course and their survival. In the series 23 patients discharged alive and 5 died; also, deaths of newborns were mostly associated with hypertension in mothers and birth after 42 weeks, while meconium and alterations of the fetal heart rate, predominantly bradycardia, were the main intrapartum risk factors. Hypotonia and seizures as neurological manifestations were the most frequently observed, and meconium aspiration and renal dysfunction as extraneurological signs.
Keywords : newborn; neonatal asphyxia; perinatal factors; meconium aspiration syndrome; secondary health care.