Severe fetal acidemia and subsequent neonatal encephalopathy in the larger premature infant.

Abstract:

:The contribution of intrapartum hypoxia-ischemia to neonatal encephalopathy in the larger preterm infant remains poorly defined. Such infants could become potential candidates for neuroprotective strategies. The objective of this study was to determine in preterm infants of gestation 31 to 36 weeks, with severe fetal acidemia (i.e., cord arterial pH < 7.00) the incidence of moderate to severe neonatal encephalopathy as well as the perinatal characteristics that may facilitate early identification. The data of 61 preterm infants of mean birth weight 1998 gm and mean gestation of 33.6 weeks were retrieved. Short-term abnormal neurologic outcome measures included evidence of encephalopathy with or without seizures or neuroimaging abnormalities. Eight (13%) of 61 infants developed an abnormal neonatal neurologic outcome. More infants with abnormal vs normal outcome had 1-minute Apgar of 0, i.e., 4/8 vs 3/53, 5-minute Apgar score

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Salhab WA,Perlman JM

doi

10.1016/j.pediatrneurol.2004.06.016

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

25-9

issue

1

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(04)00357-1

journal_volume

32

pub_type

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