Perinatal Asphyxia: Pathophysiology and Clinical Staging

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What is the diagnostic criteria for perinatal asphyxia?

Evidence of severe acidosis at birth (PH< 7)

What percentage of affected infants die due to moderate or severe HIE?

10-60%

What is the definition of hypoxia?

Partial or complete lack of oxygen in the tissues

What does Apgar score assess?

The condition of the baby directly after birth

What is the impact on survivors of perinatal asphyxia?

At least 25% of survivors have long-term neurodevelopmental sequelae

Study Notes

Perinatal Asphyxia

  • Diagnostic criteria for perinatal asphyxia include a lack of breathing, a slow heart rate, and a low Apgar score at birth.
  • Additionally, presence of fetal distress, meconium-stained amniotic fluid, and umbilical artery acidosis are also considered diagnostic criteria.

Mortality Rate

  • Moderate or severe hypoxic-ischemic encephalopathy (HIE) results in death for approximately 20-50% of affected infants.

Hypoxia

  • Hypoxia is defined as a state of inadequate oxygen supply to the body's tissues.

Apgar Score

  • Apgar score assesses the newborn's overall health and vitality at one and five minutes after birth, taking into account heart rate, breathing, muscle tone, reflexes, and color.

Impact on Survivors

  • Survivors of perinatal asphyxia are at risk of developing long-term neurological and cognitive impairments, including cerebral palsy, epilepsy, and learning disabilities.
  • Additionally, survivors may experience developmental delays, motor impairments, and vision or hearing problems.

This quiz covers the definition, pathophysiology, predisposing factors, clinical staging of Hypoxic-Ischemic Encephalopathy (HIE), as well as investigations and therapeutic modalities related to perinatal asphyxia. Perfect for medical students and professionals looking to enhance their knowledge in pediatric medicine.

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