] Causes of birth as­phyxia

Daily Trust - - HEALTH INTERACTIVE -

Ineed some use­ful in­for­ma­tion about birth as­phyxia and why chil­dren suf­fer such prob­lems. My baby ex­pe­ri­enced that.

Fa­tima K

Birth as­phyxia, also called as­phyxia neona­to­rum, is the in­abil­ity of an in­fant to es­tab­lish reg­u­lar res­pi­ra­tion fol­low­ing birth. The con­di­tion re­sults from an in­ad­e­quate sup­ply of oxy­gen to an in­fant while in the womb or dur­ing the de­liv­ery process. Birth as­phyxia is con­sid­ered a med­i­cal emer­gency and im­me­di­ate steps must be taken to es­tab­lish res­pi­ra­tion. Prompt treat­ment is es­sen­tial to pre­vent­ing longterm dam­age and fa­tal­ity.

While in the womb, the foe­tus’ first stool that is passed, known as meco­nium, can block the foe­tus air­ways, im­ped­ing the foe­tus’ abil­ity to breathe. A com­pres­sion of the um­bil­i­cal cord can re­sult in re­stricted blood flow which in­ter­feres with the foe­tus’ abil­ity to breathe prop­erly. Pla­cen­tal abrup­tion oc­curs when there is a pre­ma­ture sep­a­ra­tion of the pla­centa from the uterus, which may lead to as­phyxia. The mother’s con­di­tion prior to and dur­ing de­liv­ery also di­rectly im­pacts the wel­fare of the foe­tus.

A mother who has high blood pres­sure dur­ing preg­nancy may ex­pe­ri­ence poor pla­centa func­tion, which can hin­der proper oxy­gen pro­duc­tion and re­duce oxy­gen to the foe­tus.

When an in­fant is born with low oxy­gen lev­els, he or she may have low blood pres­sure and in­crease heart rate. De­creased oxy­gen lev­els not only threaten the in­fant’s abil­ity to breathe in­de­pen­dently, but may im­pact or­gan func­tion­al­ity. An in­fant born with low blood pres­sure, low blood cell count, or se­vere ane­mia may ex­pe­ri­ence dif­fi­culty with in­de­pen­dent res­pi­ra­tion.

When a new­born ex­hibits signs of as­phyxia fol­low­ing de­liv­ery, he/she will re­quire ur­gent at­ten­tion.

am a wor­ried mother be­cause the only child that I de­liv­ered is con­firmed to have her­nia in his scro­tum. What are the causes?

Billy H

A her­nia oc­curs when a sec­tion the in­tes­tine pro­trudes through a weak­ness in the ab­dom­i­nal mus­cles. A soft bulge is seen un­der­neath the skin where the her­nia has oc­curred.

In chil­dren, a her­nia usu­ally oc­curs in one of two places:

1. around the belly-but­ton (Um­bil­i­cal her­nia )

2. in the groin (In­quinal her­nia)

A her­nia can de­velop in the first few months af­ter the baby is born be­cause of a weak­ness in the mus­cles of the ab­domen. As a male foe­tus grows and ma­tures dur­ing preg­nancy, the tes­ti­cles de­velop in the ab­domen and then move down into the scro­tum through an area called the

area in­guinal canal. Shortly af­ter the baby is born, the in­guinal canal closes, pre­vent­ing the tes­ti­cles from mov­ing back into the ab­domen. If this area does not close off com­pletely, a loop of in­tes­tine can move into the in­guinal canal through the weak­ened area of the lower ab­dom­i­nal wall, caus­ing a her­nia.

Risk fac­tors:

1. a par­ent or sib­ling who had a her­nia as an in­fant 2. cys­tic fi­bro­sis 3. devel­op­men­tal dys­pla­sia of the hip 4. un­de­scended testes 5. ab­nor­mal­i­ties of the ure­thra 6. In­guinal her­nias oc­cur: 7. In about one to three per­cent of all chil­dren.

8. More of­ten pre­ma­ture in­fants.

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What are the symp­toms of a her­nia?

Her­nias usu­ally oc­cur in new­borns, but may not be no­tice­able for sev­eral weeks or months af­ter birth.

Strain­ing and cry­ing do not cause her­nias; how­ever, the in­creased pres­sure in the ab­domen can make a her­nia more no­tice­able. In­guinal her­nias ap­pear as a bulge or swelling in the groin or scro­tum. The swelling may be more no­tice­able when the baby cries, and may get smaller or go away when the baby re­laxes.

If the her­nia is not re­duc­ible, then the loop of in­tes­tine may be caught in the weak­ened area of ab­dom­i­nal mus­cle. Symp­toms that may be seen when this hap­pens in­clude the fol­low­ing: 1. a full, round ab­domen 2. vom­it­ing 3. pain or fussi­ness 4. red­ness dis­col­oration

5. fever.

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