Frequency of perinatal asphyxia and volume of provision of care to newborns in the delivery room

• Nataliya A. Shilova
• Natalya V. Harlamova
• Artem V. Andreev
• Semen S. Mezhinsky
• Irina A. Panova
• Petr R. Dudov

Abstract

Perinatal asphyxia is one of the Leading causes of neurological morbidity and mortality in newborns. There are no accurate statistics in Russia on the frequency and structure of newborns delivered in severe and moderate asphyxia, and resuscitation activity.

The purpose of the study is to analyze the frequency of asphyxia at birth and the resuscitation activity in the delivery room in the Obstetric Clinic III b level in 2017-2018 years and to identify the factors affecting its reduction.

Material and methods. We analyzed 817 cases of birth with asphyxia retrospectively. The assessment of the frequency of routine support, mask and bag ventilation, intubation of trachea for mechanical ventilation, the continuous positive airway pressure, the sustained inflations maneuver, supplement oxygen therapy, heart compression and drugs administrations were made.

Results. In 2017-2018,5749 newborns were delivered on Ivanovo Research Institute of Motherhood and Childhood V.N. Gorodkov, Ministry of Health of Russia. Some of them were bornt prematurely - 1203 (20.9%). The frequency rate of the asphyxia in all newborns was 14.2%, but 2.69% for the full-term infants. Intubation and mechanical ventilation were performed in 21 (0.46%) full-term and 67 (5.6%) preterm infants. Heart compression and drug administration in the group of full-term newborns were not required. Heart compression and drug administration were performed in two cases of premature delivery (0.17%) in the delivery room. We used supplemental room air to reach targeted saturation for the majority of newborns - 656 babies (80.29%).

Conclusion. We have founded the low-frequency rate of newborns with perinatal asphyxia in the Obstetrics Clinic IIIb level. The usage of routine clinical recommendations in practice, rational management, permanent training of the medical officers will decrease the aggression during primary resuscitation of the newborn.

Keywords:newborns, asphyxia, primary resuscitation of newborns

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