مؤسسة الشرق الأوسط للنشر العلمي
عادةً ما يتم الرد في غضون خمس دقائق
Abstract
Background: Despite the development of the medical services still hypoxic ischemic encephalopathy considered as one of the leading causes of neonatal deaths and neurological sequel in newborn. Since Libya had faced medical crisis, which affected in the medical care service. This study may be the spotlight for health care personal to improve the services in Libya. Objectives: To determine obstetric risk factors and to estimate immediate outcome . Methodology: This prospective cross sectional study. It was included 56 babies with Apgar score ≤ 7 at 5 minute and or signs and symptoms of hypoxic ischemic encephalopathy. The obstetric factors and Immediate outcome were reviewed. Results: All mothers who had prolonged second stage were primi-paras; the correlation between the two was significant( p value =0.000) . The parity and female gender were significantly associated (p<0.05) with sever HIE . Multi-parity, resuscitation with drugs, Apgar score≤ 7 at 5 minute, ventilator support and sever HIE were risk factors for neonatal death (p < 0.05). Sever HIE was (34%) mortality rate was (26.8%). Conclusion: Primi -parity, prolonged second stage were significantly correlated to each other . most of the risk for death can be prevented by improving the medical services