Ali GÜNEŞ, İlyas YOLBAŞ, Celal DEVECİOĞLU, Selvi KELEKÇİ, Velat ŞEN, Hülya ÜZEL

Neonatal asphyxia: A study of 210 cases

Amaç: Perinatal asfiksi, yenidoğan döneminin önemli mortalite ve morbidite nedenlerinden biridir. Bu çalış- manın amacı yenidoğan asfiksisi için antenatal, natal ve postnatal risk faktörlerini araştırmak, perinatal asfiksili yenidoğanlarda bilinen risk faktörleri ile Sarnat ve Sarnat skorları ilişkisini ve risk faktörlerinin hastanede kalış süre- si ve sağkalım ile ilişkisini belirlemektir. Gereç ve yöntem: Bu çalışmada perinatal asfiksi tanısı alan 210 vakanın dosya kayıtları geriye dönük olarak in- celendi. Hastaların demografik özellikleri, risk faktörleri ve Sarnat and Sarnat klinik evreleme özellikleri analiz edildi. Bulgular: Hastaların %67,7’sinde antepartum, %91’inde intrapartum ve %29,5‘inde postpartum risk faktörü bulun- maktaydı. Yıllara göre incelendiğinde perinatal asfiksili olgu %28,1 oranında en fazla 2007 yılında görülürken yıllar içinde bir düşüş ile birlikte %21 oranında 2010 yı- lında tanı almıştı ve evre 3 olgu sayısı ve mortalite oranı anlamlı şekilde azalmıştı (p

Neonatal asfiksi: 210 vakalık çalışma

Objectives: Perinatal asphyxia remains an important cause of neonatal morbidity and mortality. The aim of this study was to investigate antenatal, natal, and postnatal risk factors of neonatal asphyxia, relationship with known risk factors and stage of Sarnat and Sarnat scores, the effect of risk factors on hospital discharge and survival for neonates with perinatal asphyxia. Materials and methods: In this study, we retrospectively analyzed the hospital records of 210 patients diagnosed as perinatal asphyxia. The patients’ demographic char- acteristics, antepartum, intrapartum, and postpartum risk factors and Sarnat and Sarnat clinical staging criteria of newborns were analyzed. Results: The risk factors for asphyxia were detected antepartum period in 67.7% of newborns, intrapartum in 91% and potpartum in of 29.5% of neonates. When cases were examined according to the studied years, perinatal asphyxia ratio was the most frequent in 2007 as 28.1%. With a decline over the years, frequency dropped to %21 in 2010. The number of patients with stage 3 and mor- tality rate were significantly decreased over the years (p

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