How do you classify birth asphyxia?
Causes of perinatal birth asphyxia may According to WHO classification of diseases ICD10, Severe birth asphyxia is when the APGAR score at 1 min is 0–3. Mild and moderate birth asphyxia is when Apgar score at 1 min is 4-7 [4,5].
What is the pathophysiology of asphyxia?
Abstract. The pathophysiology of asphyxia generally results from interruption of placental blood flow with resultant fetal hypoxia, hypercarbia, and acidosis. Circulatory and noncirculatory adaptive mechanisms exist that allow the fetus to cope with asphyxia and preserve vital organ function.
What is HIE medical condition?
Hypoxic-ischaemic encephalopathy (HIE) may be diagnosed if your baby’s brain does not receive enough oxygen and/or blood flow around the time of birth. You might hear this being referred to as ‘asphyxia’, ‘birth asphyxia’ or ‘perinatal asphyxia’.
What is moderate HIE?
Mild HIE: Less than 5% of these infants will have a severe handicap. Moderate HIE: 25% to 75% of these infants will have a severe handicap or potentially die early in life. Severe HIE: 75% or more of these infants will have a severe handicap or potentially die early in life.
Who defines birth asphyxia?
Birth asphyxia, defined as the failure to establish breathing at birth, accounts for an estimated 900,000 deaths each year and is one of the primary causes of early neonatal mortality. The most common cause of perinatal asphyxia is complications during childbirth.
What are the types of asphyxia?
It is proposed to classify asphyxia in forensic context in four main categories: suffocation, strangulation, mechanical asphyxia, and drowning. Suffocation subdivides in smothering, choking, and confined spaces/entrapment/vitiated atmosphere.
How is asphyxia diagnosis?
There are many causes of asphyxia and a diagnosis often requires a head ultrasound (HUS). Asphyxia is an inadequate delivery of oxygen to the brain. This lack of oxygen can be detected with tests. Additionally, when the blood has been low in oxygen over time, it begins to show other abnormal signs.
What is HIE and CP?
Cerebral palsy is motor dysfunction caused by brain damage; HIE is a form of brain damage that can kill the neurons that transfer motor signals. Cerebral palsy is a disorder that manifests itself in motor difficulties, including muscle spasms (in some cases) and coordination difficulties.
What are the causes of HIE?
Potential causes of HIE during labor and delivery can include:
- Umbilical cord problems.
- Abruption of the placenta or rupture of the uterus.
- Excessive bleeding from the placenta.
- Abnormal fetal position, such as the breech position.
- Prolonged late stages of labor.
- Very low blood pressure in the mother.
When do you score sarnat?
The Sarnat score should be documented prior to the commencement of therapeutic hypothermia. During the 72 hours of TH the score should be performed every 12 hours. Following the cessation of TH the score should be performed daily until discharge.
What is the management of asphyxia?
For severe cases of birth asphyxia, treatment may include: placing the baby in a hyperbaric oxygen tank, which supplies 100% oxygen to the baby. induced hypothermia to cool the body and help prevent brain damage. medication to regulate blood pressure.
What are the 6 Classification of asphyxia?
Here, we present a modification of this classification system. We propose to classify asphyxia into four main categories: suffocation, strangulation, mechanical asphyxia, and complicated asphyxia. Suffocation includes smothering and choking as well as confined spaces, entrapment, and vitiated atmosphere.