Clinics in Mother and Child Health

Abstract

Epidemiological, Diagnostic and Evolutionary Profile of Perinatal Asphyxia in Pikine National Hospital (Dakar/Senegal)

Cisse Djeneba Fafa*, Diagne Guillaye, Ndongo Aliou Abdoulaye, Ly Fatou, Dieng Yaye Joor Koddu Biigue and Kougblenou Dede Maelle Liliane

Introduction: Perinatal asphyxia is the 3^rd leading cause of neonatal mortality worldwide and a major public health problem. The aim of our study was to investigate the epidemiological, clinical, therapeutic and prognostic aspects of perinatal asphyxia at the Pikine National Hospital.

Materials and methods: This was a retrospective, descriptive study, carried out from 1st January 2022 to 31^st December 2022.

Results: The hospital frequency was 12.74%. The most common maternal age group was between 16 and 25 years old. Most mothers were housewives (44.44%) and primiparous (54%). The majority of mothers (57.43%) had presented pathologies during pregnancy which were dominated by prelabor rupture of membranes, dystocia and anemia. Half of the mothers (55.45%) had given birth vaginally. All newborns had not cried at birth and the majority (80%) had received resuscitation. All newborns had an Apgar score of less than 7 at the 5^th min. Hypoxic- ischemic encephalopathy was found in 70.30% of cases. Most of the newborns (51.49%) had received neuroprotection in the form of such as magnesium sulphate and passive hypothermia. The mortality rate was 37.62%. The mean age at death was 4 days of life.

Conclusion: The presence of qualified personnel staff and the availability of adequate technical equipment at each birth remains necessary to reduce neonatal morbidity and mortality related to perinatal asphyxia.

Published Date: 2024-11-11; Received Date: 2024-10-10