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Other aspects of the management include the following: Other fluid therapies include dextrose water for the first day with subsequent addition of electrolytes sodium after 48 hours, and potassium after adequate urine output has been established. The NICU is manned on rotational basis by 2 consultant neonatologists, 5 resident doctors undergoing rotation in the unit, and 19 nurses, 3 of which are specialized paediatric nurses. Normal range is 2. Therefore, on presentation at the NICU, resuscitation is commenced immediately.
Measures The following information was obtained on admission or at subsequent reviews using a structured researcher administered questionnaire. All information was handled with strict confidentiality. Normal range is 2. Intravenous phenobarbitone is given for all cases with stage III hypoxic encephalopathy. Newborns with a number of conditions that could alter the diagnostic indices for perinatal asphyxia were excluded from the study. These include the following: If there is sign of meconium aspiration, the airway is thoroughly suctioned and intubated if necessary. Referrals are seen from Private, General, Mission hospitals, and other delivery homes within Enugu and neighbouring state. Therefore, on presentation at the NICU, resuscitation is commenced immediately. Clinical parameters obtained at presentation include rectal temperature using a mercury-in-glass contact thermometer normal range: Consenting subjects were recruited consecutively as they were admitted and followed up with daily reviews till discharge or death. Prior to recruitment of each subject, a written informed consent in a language understood by study participants was obtained from every mother-newborn dyad. According to the World Health Organization, perinatal asphyxia accounts for over a million newborn deaths annually and is a major cause of long-term neurologic disability and impairment in children. We explored how some identified risk factors predict mortality in asphyxiated newborns, to assist clinicians in prioritizing interventions. Data entry and analysis The above measures were documented at presentation in the relevant sections of the questionnaire and subsequently transferred into a Microsoft Excel Sheet. Venous blood samples are collected for electrolyte assay prior to fluid therapies. Electrolyte, urea, and creatinine — normal range: Vital signs with particular interest to the HR are evaluated every 30 seconds by counting for 6 seconds and multiplying the rate by For inborn newborns who presented before 5 minutes of birth, the APGAR parameters were assessed and scored. However, if there is no sign of meconium aspiration present, the baby is dried thoroughly and any wet clothing removed. It is a leading cause of morbidity and mortality in newborn babies globally, with higher case fatality rates and consequent complications in developing countries due to poor health facilities. Description of newborns enrolled in study. Any electrolyte imbalance detected is corrected accordingly. Newborns, perinatal, asphyxia, survival, Enugu Introduction Perinatal asphyxia is an important clinical condition in the newborn period. Cerebral decongestants such as intravenous dexamethasone are used in cases where cerebral oedema is suspected.
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