Neonatal encephalopathy and the association to asphyxia in labor

Objective In cases with moderate and severe neonatal encephalopathy, we aimed to determine the proportion that was attributable to asphyxia during labor and to investigate the association between cardiotocographic (CTG) patterns and neonatal outcome. Study Design In a study population of 71,189 birt...

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Veröffentlicht in:	American journal of obstetrics and gynecology 2014-12, Vol.211 (6), p.667.e1-667.e8
Hauptverfasser:	Jonsson, Maria, MD, PhD, Ågren, Johan, MD, PhD, Nordén-Lindeberg, Solveig, MD, PhD, Ohlin, Andreas, MD, PhD, Hanson, Ulf, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	admission CTG pattern Adult asphyxia Asphyxia - blood Asphyxia - epidemiology Brain Diseases - epidemiology Cardiotocography encephalopathy Female Fetal Blood - chemistry Heart Rate, Fetal - physiology Humans Hydrogen-Ion Concentration Hypoxia-Ischemia, Brain - blood Hypoxia-Ischemia, Brain - epidemiology hypoxic Infant, Newborn Infant, Newborn, Diseases - epidemiology ischemic labor Male neonatal encephalopathy Obstetric Labor Complications - blood Obstetric Labor Complications - epidemiology Obstetrics and Gynecology Pregnancy Retrospective Studies Severity of Illness Index
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Beschreibung
Zusammenfassung:	Objective In cases with moderate and severe neonatal encephalopathy, we aimed to determine the proportion that was attributable to asphyxia during labor and to investigate the association between cardiotocographic (CTG) patterns and neonatal outcome. Study Design In a study population of 71,189 births from 2 Swedish university hospitals, 80 cases of neonatal encephalopathy were identified. Cases were categorized by admission CTG patterns (normal or abnormal) and by the presence of asphyxia (cord pH,
ISSN:	0002-9378 1097-6868 1097-6868
DOI:	10.1016/j.ajog.2014.06.027