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Case Studies | Pediatrics | India | Volume 8 Issue 3, March 2019 | Popularity: 6.8 / 10

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To Study the Incidence of Renal Failure in Birth Asphyxia and to Correlate the Severity and Type of Renal Failure using AKIN Criteria and Levine's Staging of HIE

Dr. Akanksha Muvel, Dr, Hemant Jain, Dr. Sunil Arya

Abstract: Background: special neonatal care unit is a tertiary care centre where neonates with birth asphyxia are admitted. As kidneys are very sensitive to oxygen deprivation, because renal Insufficiency may occur within 24 hours of a hypoxic ischemic episode, which if prolonged may even lead to irreversible cortical necrosis. (6) Early recognition of renal failure is important in a babies with birth asphyxia to facilitate appropriate fluid and electrolyte management to decrease the incidence of acute kidney injury. Method: Analysis of serial serum creatinine levels up to 96 hours of life and urine output of 24 hour of life in a term inborn birth asphyxiated babies were admitted in SNCU of M. G. M Medical college Indore from june 2017 to june 2018. Statistics analysis were done using Chi-square test, annova test. Results: A total of 50 term Birth Asphyxiated inborn babies were included in the study. In our study, Overall incidence of AKI was 56 %. The incidence of AKI in mild BA was 25 %, 50 % in moderate BA and 100 % in severe BA. Urine output was less in severe birth asphyxia comparison to mild and moderate birth asphyxia but oliguria was not found in all grades of HIE. Conclusions: All asphyxiated babies with Apgar score

Keywords: Birth asphyxia, Hypoxic ischemic enecephalopathy

Edition: Volume 8 Issue 3, March 2019

Pages: 28 - 30

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