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SEVERE NEONATAL ASPHYXIA
Author(s) -
ERGANDER U.,
ERIKSSON M.,
ZETTERSTRÖM R.
Publication year - 1983
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1983.tb09722.x
Subject(s) - medicine , asphyxia , intensive care medicine , pediatrics , asphyxia neonatorum , medical emergency
. In Sweden during the 1970's the incidence of severe asphyxia (an Apgar score of 3 or less at 5 min) has decreased significantly from 3.22 to 2.56 per 1000 infants. A follow‐up study was undertaken concerning 116 infants (40 preterm, 76 full‐term) admitted to St. Göran's Children's Hospital during a 7‐year period (1973–79). The mortality rate was 48% in preterm and 21% in full‐term infants. Significant sequelae were present in 27% of the surviving full‐term and 14% of the preterm infants. The three severely‐handicapped preterm infants had other serious diseases as well whereas this applied to only one full‐term infant. The predictors of sequelae included perinatal complications, late onset of spontaneous ventilation (>20 min) and postnatal symptoms, such as seizures. Only two of 9 infants with regular breathing after 20 min and three of 16 infants with seizures were considered normal at follow‐up.