Preventing the human factor: organizational aspects linked to fetal asphyxia.

Minerva Obstetrics and Gynecology
Roberta AmadoriDaniela Surico

Abstract

Perinatal asphyxia can cause cerebral palsy and hypoxic - ischemic encephalopathy. They are public health problems because they cause permanent disability. This is a retrospective, analytical, observational study. 162 cases of mothers whose children experienced fetal asphyxia were compare to 361 controls where this condition did not occur. The variables analyzed were classified as: prepartum, intrapartum and organizational. Assisted Reproductive Technology obtained pregnancies, smoking, maternal body mass index, lack of one to one assistance during labor, birth on a day of high volume activity increased the risk of fetal asphyxia, as well as other traditionally linked factors like shoulder distocia or age over 35 years. Cerebral palsy cannot always be prevented because it is a syndrome with a multitude of potential causes. But a small number of cases is likely to be linked to acute intrapartum events that could be limited by changing organizational policies such as staff training and implementing team work and discussion. Our paper proposes strategies to try and modify organizational risk factors and therefore limit the incidence of fetal asphyxia.

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Nordisk medicin
S RANSTROM
Duodecim; lääketieteellinen aikakauskirja
K Teramo
American Journal of Obstetrics and Gynecology
R C Goodlin
American Journal of Obstetrics and Gynecology
D P BartonJ M Stronge
Acta gynaecologica et obstetrica Hispano-Lusitana
F HOLTZ
© 2021 Meta ULC. All rights reserved