الفهرس 
Correlation of Serum Electrolyte Changes with Severity of Birth Asphyxia in Newborns with Hypoxic Ischemic Encephalopathy
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Abstract
Perinatal asphyxia is defined as the presence of hypoxia,
hypercapnia, and acidosis leading the newborn to systemic disturbances
probably electrolyte disturbances also. Electrolyte disturbance is very
valuable as it can be an important parameter affecting perinatal morbidity,
mortality and ongoing management.
Materials and methods: Observational descriptive study included 65 fullterm asphyxiated neonates, 22 newborn with clinical signs of mild HIE, 29
newborns with moderate HIE, 14 newborns of severe HIE. To study serum
electrolyte disturbances in asphyxiated neonates. Serum sodium, potassium
and calcium of the studied cases were sent within one hour of birth of birth,
transcranial ultrasound was done within 5 days of life.
Results: In our study we found that the mean values of sodium, potassium
and calcium were 130.62mmol/l, 4.98mmol/l and 7.52mg/dl respectively.
Apgar scores of the studied cases were significantly low at 1, 5, and 10
minutes. Cranial ultrasound was significantly correlated with sarnat stages
and outcome.
Conclusions: The tendency to have hyponatremia, hyperkalemia,
hypocalcemia is common among cases with perinatal asphyxia which
underscores the need for great vigilance in electrolytes monitoring when
managing an asphyxiated baby.