EVALUATION OF HYPOXIC ISCHEMIC ENCEPHALOPATHY IN PERINATAL ASPHYXIA BY USING SARNAT AND SARNAT SCORE.
A. Manoj*, B. Vishnu Bhat**, C. Venkatesh**, Z. Bobby***
ABSTRACT
The present study was conducted to evaluate the staging of Hypoxic Ischemic Encephalopathy in Perinatal Asphyxia. Sarnat grading scale has been using for classification for HIE of new born due to insufficient oxygen to the brain which leads to alteration in consciousness, muscle tone, activity, primitive reflexes, heart rate , respiration and pupil, seizures and EEG . Among the 80 babies participated in the study, 21 (26%) had mild clinical features (stage-1), 40 (50%) babies had moderate manifestation (stage-2) and 19 babies (24%) developed severe (stage-3) encephalopathy. Seizures found in 59 (73.75%) babies and 21(26.25%) were non-seizures. Mothers of asphyxiated babies had Obstetric complications and maternal illness like Abnormal presentations and prolonged labour (47.82%), Premature rupture of membranes (28.98%), Pregnancy induced hypertensions (7.29%), Oligohydramnios (4.34%), Abroptio placenta (2.89%) and Cord prolapsed (2.89%). Eleven babies were free from obstetric complications (17.75%). Obstetric complications and maternal illness were significantly correlated with HIE and convulsion (p value< 0.0001).
[Full Text Article] [Download Certificate]