Is intrapartum asphyxia preventable?
Article first published online: 18 SEP 2007
RCOG 2007 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 114, Issue 11, pages 1442–1444, November 2007
How to Cite
Becher, J.-C., Stenson, B. and Lyon, A. (2007), Is intrapartum asphyxia preventable?. BJOG: An International Journal of Obstetrics & Gynaecology, 114: 1442–1444. doi: 10.1111/j.1471-0528.2007.01487.x
- Issue published online: 18 SEP 2007
- Article first published online: 18 SEP 2007
- Accepted 3 July 2007. Published OnlineEarly 18 September 2007.
- caesarean section;
- operative delivery
The contribution of intrapartum events to asphyxia-related mortality and morbidity and the degree to which it may be prevented are controversial. We examined trends in asphyxia-related mortality and morbidity in a single large regional perinatal centre. Between 1994 and 2005, the rate of asphyxia fell from 2.86/1000 births in 1994 to 0.91/1000 births in 2005 (P < 0.001). Hypoxic-ischaemic encephalopathy of all grades fell from 2.41 to 0.77/1000 live births (P < 0.001). This substantial and steady fall in the rate of asphyxia-related mortality and morbidity over a 12-year period suggests that a significant proportion of cases of intrapartum asphyxia may be preventable.