A Descriptive Study of Perinatal Asphyxia at the University Hospital of Kinshasa (Democratic Republic Of Congo)

Abstract

The incidence of perinatal asphyxia at the University Hospital of Kinshasa remains high and the majority of patients had a severe HIE.

The prevalence of acute kidney injury in neonates with birth asphyxia is higher in the Democratic Republic of Congo than in Western countries

“…In this cohort, the overall hospital mortality rate was 34.3% and occurred more frequently in neonates with acute kidney injury than those without acute kidney injury (50% versus 23%). This finding is similar to previous reports from other developing countries (1,5). Compared to reports from developed countries, the mortality rate in neonates with severe perinatal asphyxia seemed to be higher in our study (14,24).…”

“…In this study, the proportion of neonates with birth asphyxia diagnosed with acute kidney injury was just under 43%, which is similar to other worldwide studies that have reported 43% to 57% (12)(13)(14)(15), but higher than the 15% to 27% reported in Western countries (16)(17)(18). This difference may be due a lack of training for staff and the delivery of healthcare facilities in DRC (5).…”

Evolution of the Thompson score during the first 6 h in infants with perinatal asphyxia

“…This study aimed to determine the evolution of the Thompson score in neonates with perinatal asphyxia in the first 6 h after birth at the University Hospital of Kinshasa. In a previous study, we described perinatal asphyxia in our hospital with a rate of 88% of HIE . A good correlation was found between the Sarnat and Sarnat grading system and the Thompson score.…”

Intrapartum-related neonatal encephalopathy incidence and impairment at regional and global levels for 2010 with trends from 1990

“…There was a consistent predominance of male cases across NE birth cohorts in different regions and mortality levels (pooled proportion adjusted for population sex ratio at birth, 58.7% males (55.6–61.8%)) ( Supplementary Information online). The adjusted proportion of male cases ranged from 48.5% in the Democratic Republic of Congo (57) to 70.6% in Italy (58). The NE sex risk ratios were adjusted for the live birth sex ratio for the year of the study, then pooled by random-effects meta-analysis.…”