Epidemio-Clinical Characteristics of Perinatal Anoxia and Immediate Outcome of Patients at Hospital Teaching Gabriel Touréof Bamako

• 作者: A. A. Diakité A. Dembélé A. Doumbia A. K. Doumbia A. Konaré A. Touré B. Maiga B. Togo D. Konaté E. M. Cissé F. Dicko Traoré F. L. Diakité F. Traoré H. Diall I. Ahamadou I. Koné I. Traoré K. Sacko L. Ma?ga L. N. Sidibé M. Sylla O. Coulibaly O. H. Diallo P. Togo Y. A. Coulibaly
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: ANOXIA NEWBORN Epidemiology Clinical OUTCOME
• 年，卷（期）: 2019,（4）
• 页码范围: 326-336
• 页数: 11页
• 分类号: R73

摘要

Introduction: Neonatal asphyxia (NA) is one of the most likely causes of neuro-developmental abnormalities in children. In Mali it is responsible for half of the early deaths and the third of neonatal mortality. Updated data would help understand and improve intervention strategies to reduce mortality. Objective: It is the study of epidemiological and clinical characteristics, the immediate outcome and the factors associated with newborn (NB) mortality with NA. Material and Methods: This was a prospective cross-sectional study from June 27th to September 3rd 2016 about the NBs admitted for NA in the Hospital Teaching Gabriel Touré of Bamako. The clinical and biological data including the prognosis were collected from the health records of women, the liaison sheets and the medical file. The analysis was done using the software Epi info version 3.5.1. Results: 76 NBs were included which represented 23.45% of hospitalizations. The majority (89.5%, n = 68) were admitted to less than 24 hours of life for NA grade III according to the Sarnat classification (43.4%, n = 33). The average age of mothers was 24.17 ± 5.5 years. Almost half (41.3%, n = 31) were primigravida. The most common obstetrical event was dystocia (64.5%, n = 49). The prognosis was poor in grade III anoxia in our patients (56%) of deaths. Conclusion: The périnatal anoxia (PA) is a major health issue in Mali because of its frequency and severity. Monitoring of pregnancies, delivery assisted by skillful and qualified personnel, mastery of neonatal resuscitation techniques are good means of prevention.