Bolot P, Guérin F, Bolie S, Saillant A, Castel C, Denavit M-F, Benbrik N, Alissa K, Séaume H, Ropert J-C, de Gennes C, de Mongolfier I, Boissinot C, Guillot F, Zupan-Simunek V
Service de Pédiatrie, Hôpital Robert-Ballanger, 93602 Aulnay-sous-Bois Cedex.
J Gynecol Obstet Biol Reprod (Paris). 2003 Feb;32(1 Suppl):1S106-10.
Perinatal asphyxia is a common emergency for both obstetricians and pediatricians. A prospective study was conducted in 14 maternity hospitals (type II centres) in the Paris suburbs in order to assess pediatric activity and neonatal morbidity associated with supposed perinatal asphyxia in term newborns. Pediatricians were called in at birth very frequently: 1/20 deliveries. Intubation and/or resuscitation procedures were needed in 20% of cases and 20% of infants were referred to a neonatal unit for birth asphyxia or associated pathology. Moderate encephalopathy was observed in 1.5% of all term newborns who needed medical intervention for supposed birth asphyxia.
围产期窒息对产科医生和儿科医生来说都是常见的紧急情况。在巴黎郊区的14家妇产医院(二级中心)进行了一项前瞻性研究,以评估与足月儿疑似围产期窒息相关的儿科活动和新生儿发病率。儿科医生在出生时被频繁呼叫:每20次分娩就有1次。20%的病例需要插管和/或复苏程序,20%的婴儿因出生窒息或相关病理情况被转诊至新生儿病房。在所有因疑似出生窒息需要医疗干预的足月儿中,1.5%观察到中度脑病。