Burden of cardiovascular dysfunction and outcome among term newborns having birth asphyxia

Waqas Shakir; Abdur Rehman; M Sohail Arshad; Nazia Fatima

doi:10.12669/pjms.38.4.5160

Waqas Shakir Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan
Abdur Rehman Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan
M Sohail Arshad Department of Pediatric Cardiology, The Children's Hospital & ICH, Multan
Nazia Fatima Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan

DOI: https://doi.org/10.12669/pjms.38.4.5160

Keywords: Cardiovascular dysfunction, birth asphyxia, inotropes, echocardiography

Abstract

Objectives: To find out the burden of cardiovascular dysfunction and outcome among term newborns having birth asphyxia.

Methods: This prospective observational study was conducted at The Department of Neonatology, Children’s Hospital and The Institute of Child Health, Multan from August 2020 to March 2021.A total of 171 term newborns having asphyxia were enrolled. Detailed history along with clinical and physical examination were done at the time of admission at Neonatal Intensive Care Unit (NICU). All neonates were followed up for duration of 14 days following birth. Echocardiographic patterns as well as electrocardiography grading were described among neonates with cardiovascular abnormalities.

Results: Out of a total of 171 neonates, there were 94 (55.0%) male and 77 (45.0%) female. Lowe segment cesarean section was the mode of delivery in 72 (42.1%) while normal vaginal delivery was noted in 99 (57.9%). Mean gestational age was noted to be 38.3±1.8 weeks. Mean birth weight was calculated to be 2574.10±122.30 grams. Cardiovascular dysfunction was noted among 60 (35.1%) neonates as exhibited by the use of inotropes while abnormal ECHO was observed in 52 (30.4%), abnormal ECG in 27 (15.8%) and elevated CK-MB in 31 (18.1%). A total of 29 (17.0%) asphyxiated neonates died while among 60 asphyxiated neonates with cardiovascular dysfunction, 23 (38.3%) died and all remaining survived and discharged (p<0.0001).

Conclusion: Cardiovascular dysfunction among asphyxiated neonates was found to be in high proportion of cases. Cardiovascular dysfunction was noted to have significant association with poor outcome.

doi: https://doi.org/10.12669/pjms.38.4.5160

How to cite this:
Shakir W, Abdur-Rehman, Arshad MS, Fatima N. Burden of cardiovascular dysfunction and outcome among term newborns having birth asphyxia. Pak J Med Sci. 2022;38(4):883-887. doi: https://doi.org/10.12669/pjms.38.4.5160

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Abdur Rehman, Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan

FCPS (Neonatology)

Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan

M Sohail Arshad, Department of Pediatric Cardiology, The Children's Hospital & ICH, Multan

FCPS (Pediatric Cardiology)

Associate Professor and Head of Department of Pediatric Cardiology, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.

Nazia Fatima, Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan

FCPS (Pediatric Medicine)

Department of Neonatology, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.