Perinatal asphyxia from the obstetric standpoint

Newborn Brain Society Guidelines and Publications Committee

Research output: Contribution to journalArticlepeer-review

Abstract

Perinatal asphyxia remains one of the major causes of morbidity and mortality for term newborns. Though access to health care and birth attendants have decreased the rate, Neonatal encephalopathy (NE) has not been eliminated. Worldwide, women at socioeconomic disadvantage have the highest risk of delivering a neonate with NE. Neonates that will experience perinatal asphyxia cannot be easily identified prospectively and the intrapartum testing available is not specific enough to clearly indicate the best course of action in most cases. Despite this, training programs that aim to decrease morbidity and mortality from all causes appear to be associated with fewer cases of perinatal asphyxia. The current best approach is to support education and communication for all people involved in the care of birthing women. Ideally, new technology will address identification of the fetus likely to be affected or the fetus who is beginning to experience injury in advance of delivery.

Original languageEnglish (US)
Article number101259
JournalSeminars in Fetal and Neonatal Medicine
Volume26
Issue number4
DOIs
StatePublished - Aug 2021

Keywords

  • Birth
  • Birth injuries
  • Caesarean section
  • Labor complications
  • Neonatal encephalopathy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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