7 / 17
Page 57
Notes:
allied
academies
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4
th
International Conference on
Neurosurg, an open access journal
ISSN: 2471-9633
Statement of the Problem:
Neonatal encephalopathy (NE), a
clinically defined syndrome of disturbed neurologic function
in new born babies, is a serious public health concern. This
condition often results in serious health consequences
including death, cerebral palsy, developmental delay and
seizure disorder. However, the underlying causes of NE are
often poorly understood, and its treatment is primarily
focused on the management of its risk factors. The purpose
of the study was to identify intrapartum risk factors that
influence the occurrence of neonatal encephalopathy at
Yaounde Gynaeco-Obstetric and Pediatric Hospital.
Methods:
This cross-sectional study involved 180 neonates
(90 cases and 90 controls). The case group included only the
clinical elements of the Sarnat’s staging. A questionnaire
was used to collect data from both mother and child. The
independent variables associated with intrapartum were
labor conditions, membrane rupture, presentation and
mode of delivery. Data were analyzed using the Chi-square
test (significance level at p<0.05).
Findings:
Theoccurrenceof hypoxic-ischemic encephalopathy
was significantly determined by prolonged labor (p=0.000),
arrest of labor (p=0.005), prolonged membrane rupture
(p=0.007), non-cephalic presentation (p=0.001), and cesarean
delivery (p=0.001).
Conclusion & Significance:
This study has shown that
intrapartum is a critical period associated with several risk
factors of neonatal encephalopathy. To reduce the risks and
consequences of neonatal encephalopathy, health education
programs should be developed to educate pregnant women
about precautions to be taken during pregnancy. Moreover,
doctors, nurses and related health professionals should be
continually trained in the management of the NE risk factors
during intrapartum period.
Speaker Biography
Hippolyte T Siyou is a Pediatrician at the Yaounde Gynaeco-Obstetric and Pediatric in
Cameroon. He has more than 10 years of experience in pediatric care, research and
supervision of dissertations of Medical students. He has earned a Doctorate degree
in General Medicine and a specialization Diploma in Pediatrics from the Faculty of
Medicine and Biomedical Sciences of the University of Yaounde. He has attended
several post specialization trainings in France and China.
e:
siyofs@yahoo.frIntrapartum risk factors of neonatal encephalopathy at the gynaeco-obstetric and pediatric hospital
in Yaounde
Hippolyte T Siyou
Yaounde Gynaeco-Obstretric and Pediatric Hospital, Cameroon
Hippolyte T Siyou, Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-006