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Journal of Tropical Pediatrics 1990 36(1):34-39; doi:10.1093/tropej/36.1.34
© 1990 by Oxford University Press
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Risk Assessment in Birth Asphyxia

A. S. Daga, S. R. Daga and S. K. Patole

Department of Preventive & Social Medicine and Pediatrics, Grant Medical College and J.J. Hospital Bombay, India

Correspondence: Dr (Mrs) A. S. Daga, 1/11 Staff Quarters, J.J. Hospital, Bombay 400008, India.

In developing countries the need for a risk approach in neonatology is obvious because of a high birth rate, high neonatal mortality rate, and limited availability of resources. Quantification of risk, with selected antepartum, intrapartum factors, clinical, and post-mortem findings was done by calculating odds ratio, attributable risk, and 95 per cent confidence limits in 1811 babies, 541 of which were asphyxiated. Primigravidity, history of perinatal death, pregnancy induced hypertension, and antepartum haemorrhage carried higher risk. Abnormal fetal heart rate and meconium passage in amniotic fluid correctly predicted high risk of birth asphyxia. Decreasing risk in premature/low birth weight babies without increase in abdominal deliveries suggested that caesarian sections were unnecessary in preterm deliveries. Clinical monitoring of asphyxiated newborns was adequate enough.


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M. Ellis, N. Manandhar, D. S Manandhar, and A. M d. L Costello
Risk factors for neonatal encephalopathy in Kathmandu, Nepal, a developing country: unmatched case-control study
BMJ, May 6, 2000; 320(7244): 1229 - 1236.
[Abstract] [Full Text]


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