TITLE:
Epidemio-Clinical Characteristics of Perinatal Anoxia and Immediate Outcome of Patients at Hospital Teaching Gabriel Touré of Bamako
AUTHORS:
L. N. Sidibé, H. Diall, D. Konaté, O. Coulibaly, F. L. Diakité, K. Sacko, F. Traoré, O. H. Diallo, L. Maïga, I. Ahamadou, I. Traoré, I. Koné, B. Maiga, P. Togo, A. K. Doumbia, A. Touré, E. M. Cissé, A. Dembélé, Y. A. Coulibaly, A. Doumbia, A. Konaré, A. A. Diakité, B. Togo, M. Sylla, F. Dicko Traoré
KEYWORDS:
Anoxia, Newborn, Epidemiology, Clinical, Outcome
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.9 No.4,
December
26,
2019
ABSTRACT: Introduction: Neonatal asphyxia (NA) is one of the most likely causes of
neuro-developmental abnormalities in children. In Mali it is responsible for
half of the early deaths and the third of neonatal mortality. Updated data
would help understand and improve intervention strategies to reduce mortality. Objective: It is the study of epidemiological and clinical characteristics, the immediate
outcome and the factors associated with newborn (NB) mortality with NA. Material
and Methods: This was a prospective cross-sectional study from June 27th to September 3rd 2016 about the NBs admitted for NA in the Hospital Teaching Gabriel Touré of Bamako. The clinical
and biological data including the prognosis were collected from the health
records of women, the liaison sheets and the medical file. The analysis was
done using the software Epi info version 3.5.1. Results: 76 NBs were
included which represented 23.45% of hospitalizations. The majority (89.5%, n =
68) were admitted to less than 24 hours of life for NA grade III according to
the Sarnat classification (43.4%, n = 33). The average age of mothers was 24.17
± 5.5 years. Almost half (41.3%, n = 31) were primigravida. The most common
obstetrical event was dystocia (64.5%, n = 49). The prognosis was poor in grade
III anoxia in our patients (56%) of deaths. Conclusion: The périnatal
anoxia (PA) is a major health issue in Mali because of its frequency and
severity. Monitoring of pregnancies, delivery assisted by skillful and qualified personnel, mastery of neonatal resuscitation
techniques are good means of prevention.