Early Neonatal Outcome of Clinically Diagnosed Fetal Distress in Low Resource Areas

Abstract

Introduction: Fetal distress is a high risk obstetric situation associated with increased perinatal morbidity and mortality. It is also a major contributor to operative interventions in the majority hospitals of developing countries. The objective of this study was to observe clinically diagnosed fetal distress and early neonatal outcome after delivery. Materials and Methods: This hospital based cross-sectional study was carried out in Department of Obstetrics and Gynecology at Bashundhara Addin Medical College Hospital, Keraniganj during the period of January to December 2019. 212 women in active phase of labor at term pregnancy who met the inclusion and exclusion criteria were enrolled. Fetal distress was diagnosed by abnormal FHR and /or presence of meconium in amniotic fluid after rupture of membrane. Neonatal outcome was assesss by 1st & 5th mins Apgar Scores after delivery, babies requiring immediate resuscitation and admission to neonatal care unit & recorded. Result: Among fetal distress 11.32% babies had Apgar score <7 as compared to babies without fetal distress that had 5.66% apgar score <7 at 5th minutes(p<0.05). 28.3% fetal distressed born babies required NICU admission rather than only 9.44% of without fetal distress. Conclusion: This study shows relative adverse neonatal outcome for fetal distressed babies than without distress. Medicine Today 2021 Vol.33(2): 152-155

Magnitude, Associated Factors and Immediate Outcomes of Non-Reassuring Fetal Heart Rate Status Among Laboring Mothers at South Gondar Zone Public Hospitals, North, West Ethiopia, 2022; Cross Sectional Study

“…This result is similar with the study conducted in Bangladesh (28.3%) (15). The similarity may be due to methodology and might be similarity of demographic though not described.…”

“…NRFHS is a high-risk obstetric syndrome that has been related to an increased risk of perinatal morbidity, mortality (15) and related neonatal intensive care unit (NICU) admission (16).…”

“…NRFHRS can leads to many health problems for newborn such as Hypoxia/anoxia, bad mood, frequent crying for a long duration, and intense crying (22), partial or total brain damage, cerebral palsy, paralysis, nerve damage (23), hearing and vision impairment, seizures, necrotizing enterocolitis, epilepsy, mental retardation, abnormal physical growth and perinatal death or stillbirth (15) and also increased risk of death of pediatrics through infection due to prolonged hospital stay (24). NRFHRS tracing was described as requiring necessitates immediate intervention like caesarean section or instrumental vaginal delivery (11,21), intrauterine resuscitation, including oxytocin deprivation and amnioinfusion (20) to prevent or reduce bad neonatal outcome.…”

“…NRFHS is a high-risk obstetric syndrome that has been related to an increased risk of perinatal morbidity, mortality (15) and related neonatal intensive care unit (NICU) admission (16). Furthermore the most common indication for instrumental deliveries, 36% (17) and 47.1%-58% for Vacuum and c/s respectively globally (18, 19).…”

“…NRFHRS can leads to many health problems for newborn such as Hypoxia/anoxia, bad mood, frequent crying for a long duration, and intense crying (22), partial or total brain damage, cerebral palsy, paralysis, nerve damage(23), hearing and vision impairment, seizures, necrotizing enterocolitis, epilepsy, mental retardation, abnormal physical growth and perinatal death or stillbirth (15) and also increased risk of death of pediatrics through infection due to prolonged hospital stay (24).…”