Body hypothermia saves asphyxiated newborn

The article was consulted professionally by Specialist Doctor II Cao Thi Thanh – Pediatrician – Pediatrics – Newborn – Share99 Hai Phong International Health Hub.

Hypothermia therapy for hypoxia and issphaemia has been proven to be effective in protecting the brain, reducing mortality- neurological relics for asphyxiated babies.

Asphyxiation at birth is hypoxia, which occurs before- during or immediately after birth – can be caused by a variety of causes. Asphyxiation leads to hypoxia and a decrease in blood flow to the brain, causing hypoxia encepha encephaity. Asphyxiation is fatal at a high rate and can leave severe symptoms of mental and motor development.

There are many causes of asphyxiation of babies including:

• At birth, the mother has labor too fast or too long
• Abnormal pregnancy
• Prolonged period of labor
• Laying is difficult to intervene with other support.
• Striker vegetables ,hematomas behind each other, umbilical cord prolapse or umbilical cord wrapped around the neck and m mother-pregnancy infections.

Babies who are asphyxiated without a timely emergency can cause complications (severe or mild depending on the extent and duration of asphyxiation) such as:

• According to the system up to 20-50% of babies die from lack of oxygen supply and cerebral issemia.
• Leaving evidence in the brain: Children with motor retinal development, intellect, mental, mental, with meninges, cerebral palsy…

The method of hypothermia in babies is based on the principle: When cooling the whole body will reduce brain transformation to help restore brain damage: help reduce the number of brain cells damaged by lack of oxygen and prevent further damage caused by brain edema, helping to improve the long-term predest for the child.

3.1 Advantages of hypothermia in newborns

Previously, the problem of treating asphyxiated babies did not have specific treatments, mainly treatment with supportive measures. Oxygen-deprived lesions in bodies such as the heart, liver, kidneys can be restored. However, the damage in the brain is i can not be restored.

Body hypothermia treatment for asphyxiated babies helps protect which cells have proven effective in treating asphyxiated babies reducing death, reducing mobility by about 15%. Thereby saving lives and reducing injuries to babies with post-birth asphyxiation, reducing the burden on families and society.

3.2 In dinhion for treatment of hypothermia in newborns

Children with the following 3 criteria are treated for hypothermia

• Gestational >=36 weeks and post-birth < 6 giờ tuổi
• APGAR Index <5 tại thời điểm 10 phút hoặc pH<7.0 hoặc BE<-16 máu rốn trong vòng 60 phút
• Moderate to severe levels of issemia-deprived brain damage and changes in the electroencephaon (moderate or severe wave activity abnormalities and manifestations of seizures)

Use body or head hypothermia. Cooling the head area and full-body cooling show the same efficiency and safety. Full-body cooling facilitates more electroencephalitis monitoring. The golden time is right in the first 6 hours after birth.

Hypothermia for 72 hours; target temperature 33. 5 degrees C-34.5 degrees Celsius.

Supportive treatments: Respiratory support, maintenance of cerebral perfusion and organizational perfusion to avoid hypotension or hypertension (it is recommended to maintain an average blood pressure above 35-40 mmHg), control the disorders of the body.

After 72 hours the child will be warmed slowly to return to normal temperature, the child continues to be monitored for discharged.

3.4 Note after treatment of hypothermia in newborns

Asphyxiated infants treated for hypothermia need re-examination every 2-3 months to 18 months of age for monitoring of motor psychiatric development in combination with physical therapy for good results.

Infant hypothermia therapy is an effective proven measure, reducing infant mortality and malformations. Therapy is performed in eligible facilities and children after treatment are monitored periodically for early detection of possible conditions.

Dr. Thanh has worked for 25 years in the treatment of newborn pediatric diseases, including 23 years working in the newborn department of Hai Phong Obstetrics and Gynecology Health Hub (experienced in newborn resuscitation in the operating room / delivery room + nurturing premature babies late (34 weeks – 37 weeks), 02 years working at the Clinic requesting Hai Phong Children's Health Hub. Dr. Thanh is currently working at The Pediatrics – Newborn Department of Share99 Hai Phong International Health Hub