Is intrapartum asphyxia preventable?

被引:26
作者
Becher, J-C [1 ]
Stenson, B. J. [1 ]
Lyon, A. J. [1 ]
机构
[1] Royal Infirm Edinburgh NHS Trust, Simpson Ctr Reprod Hlth, Dept Neonatol, Edinburgh EH16 4SA, Midlothian, Scotland
关键词
asphyxia; caesarean section; epidemiology; newborn; operative delivery;
D O I
10.1111/j.1471-0528.2007.01487.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The contribution of intrapartum events to asphyxia-related mortality and morbidity and the degree to which it may be prevented are controversial. We examined trends in asphyxia-related mortality and morbidity in a single large regional perinatal centre. Between 1994 and 2005, the rate of asphyxia fell from 2.86/1000 births in 1994 to 0.91/1000 births in 2005 (P < 0.001). Hypoxic-ischaemic encephalopathy of all grades fell from 2.41 to 0.77/1000 live births (P < 0.001). This substantial and steady fall in the rate of asphyxia-related mortality and morbidity over a 12-year period suggests that a significant proportion of cases of intrapartum asphyxia may be preventable.
引用
收藏
页码:1442 / 1444
页数:3
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