Publication:
Clinico-Biochemical Profile of Neonates with Birth Asphyxia in Eastern Nepal

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorShah, Gauri Shankar
dc.contributor.authorAgrawal, Jyoti
dc.contributor.authorMishra, OM Prakash
dc.contributor.authorChalise, Shiva
dc.date.accessioned2026-05-25T06:17:19Z
dc.date.available2026-05-25T06:17:19Z
dc.date.issued2012
dc.descriptionGauri Shankar Shah Professor and Head of Department, Department of Paediatrics, BP Koirala Institute of Health Sciences (BPKIHS), Dharan Jyoti Agrawal Senior Resident, Department of Paediatrics, BP Koirala Institute of Health Sciences (BPKIHS), Dharan OM Prakash Mishra Professor (Visiting), Department of Paediatrics, BP Koirala Institute of Health Sciences (BPKIHS), Dharan Shiva Chalise Senior Resident, Department of Paediatrics, BP Koirala Institute of Health Sciences (BPKIHS), Dharan
dc.description.abstractAbstract: Introduction: Perinatal asphyxia is a common problem with the incidence varying from 0.5 – 2% of live births. It is an important cause of neonatal mortality and is a frequent cause for admission to neonatal intensive care units (NICU). The aims of this study were to find out the clinical and biochemical alterations in different stages of HIE. Materials and Methods: This was a prospective hospital based observational study performed during the period of February, 2010 to January, 2011. Results: Sixty inborn neonates satisfying the criteria for birth asphyxia requiring admission to pediatric wards and neonatal intensive care unit were studied. There were 13(21.7%) cases of mild hypoxemic ischemic encephalopathy (HIE), 27 (45%) moderate and 20 (33.3%) severe HIE. Seizures 41(68.3%), respiratory distress 32(53.3%) and shock 29(48.3%) were predominant manifestations observed. Meconium aspiration syndrome was found in 13.3% of neonates. Hypoglycemia 11(18.3%), hypocalcaemia 7(11.7%), hyponetremia 14 (23.3%) and hyperbilirubinemia 9(15%) were associated biochemical abnormalities. Twenty cases (33.3%) had acute renal failure and they belonged to moderate and severe stages of HIE. Seizures (P< 0.001), respiratory distress (P=0.015), shock (P<0.001) and serum creatinine (P=0.004) were found to be significant among different HIE stages. Conclusion: Neonates having birth asphyxia had HIE, seizures, respiratory distress, shock, hypoglycemia hypocalcaemia, hyponetremia, hyperbilirubinemia and acute renal failure mostly in moderate and severe stages.
dc.identifierhttps://doi.org/10.3126/jnps.v32i3.7626
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6232
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectBirth asphyxia
dc.subjectacute renal failure
dc.subjectseizures
dc.titleClinico-Biochemical Profile of Neonates with Birth Asphyxia in Eastern Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage209
oaire.citation.startPage206
relation.isJournalIssueOfPublication8144a486-a616-4200-bdbc-b5f191c661df
relation.isJournalIssueOfPublication.latestForDiscovery8144a486-a616-4200-bdbc-b5f191c661df
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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