Quality of Survival After Severe Birth Asphyxia

Thomson, Axel A.; Searle, Margaret; Russell, George

doi:10.1097/00006254-197804000-00014

Cited by 12 publications

(21 citation statements)

References 6 publications

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“…However, this study grouped babies with absent heart beat at birth with others who had Apgar scores of between 1 and 4; only 15 babies were given a 1 minute Apgar score of zero and, of these, eight survived; their subsequent neurodevelopmental status is not reported separately. Similar data were reported by Steiner and Neligan,3 and Thompson et al ,4 from severely asphyxiated births between 1964 and 1974. Both neonatal survival and intensive care techniques have changed substantially since then and it seems appropriate to re-evaluate this particular risk group.…”

Section: Discussionsupporting

confidence: 88%

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Outcome of resuscitation following unexpected apparent stillbirth

Casalaz

Marlow²,

Speidel³

1998

Archives of Disease in Childhood - Fetal and Neonatal Edition

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There are few data to inform a decision to resuscitate babies who are unexpectedly stillborn. The outcome for 42 successfully resuscitated stillborn children, of whom 62% survived to be discharged home, is reported. Of the survivors, a poor outcome with severe disability was found in 23% (including one postneonatal death), equivocal outcome was found in 15% (two mild hypertonia; two with mild hemiplegia and no associated other disability) and 62% were free of any impairment at follow up 20 months to 8 years later. In 39 (93%) fetal problems had been identified and the resuscitation team was present at delivery. Poor outcome was associated with late return of heart beat, delayed respirations, neonatal acidaemia and early onset of seizures. Of the unexpected apparent stillbirths successfully resuscitated, 52% died or survived severely disabled, 10% had an equivocal outcome, but 36% survived apparently intact. Therefore, vigorous resuscitation is clearly indicated in these circumstances. (Arch Dis Child Fetal Neonatal Ed 1998;78:F112-F115)

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Section: Discussionsupporting

confidence: 88%

“…Combining the outcomes for ascertained children across the three studies, 31 of 72 identified children had severe disability at follow up (43%; 95% CI 31% to 55%). This compares with rates of normal development among survivors of 100%,4 75%,1and 66%3 in the three older studies, which included children with higher Apgar scores.…”

Section: Discussionmentioning

confidence: 87%

Outcome of resuscitation following unexpected apparent stillbirth

Casalaz

Marlow²,

Speidel³

1998

Archives of Disease in Childhood - Fetal and Neonatal Edition

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“…With advances in neonatal care the outlook for babies surviving severe perinatal asphyxia appears to have improved (Scott, 1976;Thomson et al, 1977), making it more difficult to identify the precise role of asphyxia in causing brain damage. The present study was undertaken in a set of neurologically abnormal babies with a history of fetal distress in labour, to find out whether the types of neurological signs exhibited by such babies have any bearing on their outcome in later infancy or childhood.…”

mentioning

confidence: 99%

Neurological sequelae in newborn babies after perinatal asphyxia.

Souza¹,

Richards²

1978

Archives of Disease in Childhood

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(Scott, 1976;Thomson et al., 1977), making it more difficult to identify the precise role of asphyxia in causing brain damage. The present study was undertaken in a set of neurologically abnormal babies with a history of fetal distress in labour, to find out whether the types of neurological signs exhibited by such babies have any bearing on their outcome in later infancy or childhood. MethodsSubjects. Newborn babies, 37 to 44 weeks' gestational age, with a history of fetal distress, were diagnosed as severely neurologically abnormal in the early newborn period by colleagues working at the same hospital, because of the unequivocal presence of abnormal tone (hypertonia or hypotonia), irritability on handling (marked increase in spontaneous activity with alteration in respiration, or crying), a 'cerebral' (high-pitched) cry, or convulsions. These

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“…While there is clearly a relationship between the signs of severe asphyxia and poor prognosis, poor outcomes are not inevitable. There have been reports of newborns with no detectable heartbeats or respiratory effort at birth surviving with normal developmental progress (Scott, 1976;Thomson, Searle, & Russell, 1977). In order to better understand the relationship between asphyxia and developmental outcomes, some investigators have utilized scoring systems to classify infants based on the number and persistence of abnormal neurological signs.…”

Section: Neurological and Developmental Outcomesmentioning

confidence: 99%

The Relationship Between Inadequate Oxygenation of the Brain at Birth and Developmental Outcome

Blackman

1989

Topics in Early Childhood Special Education

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Early childhood educators are likely to encounter children who experienced oxygen deprivation during the birth process. An understanding of the early signs of this condition, sometimes referred to as asphyxia, and of the cognitive and motor deficits that may result can assist in the planning of appropriate services. This article is a review of causes, effects on the brain, clinical manifestations, and developmental consequences.Kirsten's mother had an ideal pregnancy. Determined to give her first child the best start possible, she started prenatal care early, ate a proper diet, quit smoking, and avoided alcohol. Everything went well, until several hours into labor. Although contractions were long and intense, the baby did not seem to be progressing through the birth canal at the anticipated rate. When the doctor noted that the amniotic fluid was mixed with meconium, monitors were affixed to display the baby's heart rate. Tension increased when slowing of the heart rate was noted with each uterine contraction, and the doctor hurriedly called for an emergency cesarean section. When the baby was finally delivered, she was blue and limp, appearing lifeless. A resuscitation team was standing by to revive the child. The 1-minute Apgar score was 1; the 5-minute score was 3. During the next few days Kirsten began breathing on her own but remained minimally responsive and developed seizures, which were controlled with anticonvulsant medication. Although she had to be fed for the first week with a TECSE 9(1), 1-13 (1989) © PRO-ED Inc.

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Quality of Survival After Severe Birth Asphyxia

Cited by 12 publications

References 6 publications

Outcome of resuscitation following unexpected apparent stillbirth

Outcome of resuscitation following unexpected apparent stillbirth

Neurological sequelae in newborn babies after perinatal asphyxia.

The Relationship Between Inadequate Oxygenation of the Brain at Birth and Developmental Outcome

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