Zulfiqar Ali, Azher Abbas Shah, Hafiz Muhammad Irfan, Saima Umar, Asma Tousif.
Frequency of electrolyte and metabolic abnormalities in asphyxiated newborns - an experience at District Headquarter Hospital.
Pak J Med Health Sci Jan ;13(4):800-2.

Aim : To fluid the status of electrolytes in asphyxiated neonates after birth. Study Design: Cross Sectional Study . Setting: Paediatric Department , DHQ - Teaching Hospital, Gujranwala, affiliated with Gujranwala Medical College. Methodology : Study was done in asphyxiated newborns fro m February 2019 to October 2019. Babies weighing 2.5 Kg or more with no cry at birth , both male and female were included in the study. Venous samples were taken with aseptic technique and their Serum Sodium , Calcium and Glucose levels were measured at Hospital Laboratory. Data interpretation and analysis was conducted through SPSS version 21 . Results : Amongst 320 children ,66.25%(n= 212) were between 1 -3 hours of life and 33.75% (108) were between 4 -6 hours of life with mean +/- SD 3.25 +/- 1.71 hours. Males were 60.31% (n=193) and 39.69% were females. Out of study population ( 320), 22.81% (73) had hypoglycaemia, 29.38% (94) had hypernatremia and 17.5% (56) had hypocalcaemia . Conclusion : Hyponatraemia was the leading electrolyte disturbance in asphyxiated neonates followed by hypoglycaemia and hypocalcaemia.

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