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The objective of this work was to determine the risk factors of neonatal asphyxia during labor. It is a case control study conducted at the Hospital Zafisaona Gabriel Mahajanga, from January 01 to December 31, 2015. Parturients who delivered a newborn with neonatal asphyxia (cases) were compared with those whose newborn did not have neonatal asphyxia (controls). Seventy-five cases of neonatal asphyxia were collected out of 2067 deliveries, i.e. 3.62% of live births. The risk factors found were: toxic intake (p

Produktbeschreibung
The objective of this work was to determine the risk factors of neonatal asphyxia during labor. It is a case control study conducted at the Hospital Zafisaona Gabriel Mahajanga, from January 01 to December 31, 2015. Parturients who delivered a newborn with neonatal asphyxia (cases) were compared with those whose newborn did not have neonatal asphyxia (controls). Seventy-five cases of neonatal asphyxia were collected out of 2067 deliveries, i.e. 3.62% of live births. The risk factors found were: toxic intake (p<0.001), premature rupture of membranes (p<0.001 OR=43), meconium amniotic fluid (p<0.001 OR=35), uterine hypertonia (p<0.001 OR=12), vaginal delivery (p =0.045 OR=2), use of oxytocin (p<0.001 OR=13) and hydrocortisone (p<0.001), stagnation of cervical dilation (p=0.003 OR= 6), instrumental extraction (p=0.039 OR= 9), a circular cord (p<0.001 OR=8). The case fatality rate was 14.66%. The presence of these risk factors should oblige the practitioner to reinforce surveillance and to resort more readily to cesarean section.
Autorenporträt
Ex tirocinante del tirocinio di qualificazione del Madagascar, avendo trascorso due anni di tirocinio a Bordeaux in Francia, capo clinica in Ostetricia e Ginecologia, docente presso la Facoltà di Medicina dell'Università di Mahajanga in Madagascar.