Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq

Background: Perinatal asphyxia is the worldwide most common cause of neonatal morbidity and mortality. It accounts for about 25% of all neonatal deaths. Electrolyte disturbances are the most common problem of asphyxiated neonates. This study measures the serum sodium, potassium, and calcium levels i...

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Main Authors: Barzan Abdullah Hasan, Morouge Hashem Al-Ani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Medical Journal of Babylon
Subjects:
Online Access:http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2019;volume=16;issue=4;spage=331;epage=334;aulast=Hasan
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author Barzan Abdullah Hasan
Morouge Hashem Al-Ani
author_facet Barzan Abdullah Hasan
Morouge Hashem Al-Ani
author_sort Barzan Abdullah Hasan
collection DOAJ
description Background: Perinatal asphyxia is the worldwide most common cause of neonatal morbidity and mortality. It accounts for about 25% of all neonatal deaths. Electrolyte disturbances are the most common problem of asphyxiated neonates. This study measures the serum sodium, potassium, and calcium levels in asphyxiated neonates. Objective: The objective is to study serum calcium, serum potassium, and serum sodium levels in asphyxiated newborns of different severity in the early neonatal period and compare with controls. Materials and Methods: The serum potassium, sodium, and calcium levels of asphyxiated neonates were measured in postnatal period. Neonates were included according to the Apgar score and clinical examination. The measured electrolyte values were compared with the normal neonates. Results: From 50 asphyxiated neonates, 17 had hyponatremia, 6 had hyperkalemia, and 4 had hypocalcemia. The serum sodium and potassium levels showed statistically significant (P < 0.00) with the different degree of asphyxia, but calcium levels were not statistically significant (P = 0.06). There was a negative linear correlation with sodium and calcium levels but with the serum potassium levels was positive. Conclusions: Hyponatremia was significant in all stages of birth asphyxia, hyperkalemia was significant with increased severity of birth asphyxia, and hypocalcemia was not significant.
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spelling doaj.art-4d60019c227947b19fbe6ca325fc23862022-12-21T20:30:24ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602019-01-0116433133410.4103/MJBL.MJBL_52_19Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, IraqBarzan Abdullah HasanMorouge Hashem Al-AniBackground: Perinatal asphyxia is the worldwide most common cause of neonatal morbidity and mortality. It accounts for about 25% of all neonatal deaths. Electrolyte disturbances are the most common problem of asphyxiated neonates. This study measures the serum sodium, potassium, and calcium levels in asphyxiated neonates. Objective: The objective is to study serum calcium, serum potassium, and serum sodium levels in asphyxiated newborns of different severity in the early neonatal period and compare with controls. Materials and Methods: The serum potassium, sodium, and calcium levels of asphyxiated neonates were measured in postnatal period. Neonates were included according to the Apgar score and clinical examination. The measured electrolyte values were compared with the normal neonates. Results: From 50 asphyxiated neonates, 17 had hyponatremia, 6 had hyperkalemia, and 4 had hypocalcemia. The serum sodium and potassium levels showed statistically significant (P < 0.00) with the different degree of asphyxia, but calcium levels were not statistically significant (P = 0.06). There was a negative linear correlation with sodium and calcium levels but with the serum potassium levels was positive. Conclusions: Hyponatremia was significant in all stages of birth asphyxia, hyperkalemia was significant with increased severity of birth asphyxia, and hypocalcemia was not significant.http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2019;volume=16;issue=4;spage=331;epage=334;aulast=Hasanbirth asphyxiahyperkalemiahypocalcemiahyponatremiahypoxic-ischemic encephalopathyserum electrolyte
spellingShingle Barzan Abdullah Hasan
Morouge Hashem Al-Ani
Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
Medical Journal of Babylon
birth asphyxia
hyperkalemia
hypocalcemia
hyponatremia
hypoxic-ischemic encephalopathy
serum electrolyte
title Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
title_full Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
title_fullStr Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
title_full_unstemmed Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
title_short Electrolyte disturbance in asphyxiated neonates in maternity hospital in Erbil, Iraq
title_sort electrolyte disturbance in asphyxiated neonates in maternity hospital in erbil iraq
topic birth asphyxia
hyperkalemia
hypocalcemia
hyponatremia
hypoxic-ischemic encephalopathy
serum electrolyte
url http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2019;volume=16;issue=4;spage=331;epage=334;aulast=Hasan
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AT morougehashemalani electrolytedisturbanceinasphyxiatedneonatesinmaternityhospitalinerbiliraq