What are the clinical manifestations of neonatal asphyxia

In recent years, there have been more and more incidents of neonatal asphyxia, which has caused some expectant mothers to be very worried. Worrying that your child will develop such a disease after birth will have a great impact on your life and emotions. To prevent a disease, you need to have a corresponding understanding of the disease, which means you need to understand the symptoms of the disease and how to diagnose it. So, what are the clinical manifestations of neonatal asphyxia?

【Clinical manifestations】

1. After the fetus is delivered, the face and skin of the whole body are bluish purple or pale, and the lips are dark purple.

2. Shallow breathing, irregular breathing, or no breathing or only weak breathing like gasping.

3. Regular heartbeat, heart rate 80-120 beats/minute or irregular heartbeat, heart rate <80 beats/minute, and weak.

4. Respond to external stimuli with good muscle tone or do not respond to external stimuli with loose muscle tone.

5. Laryngeal reflex is present or absent.

【diagnosis】

1. The newborn's face and skin are cyanotic;

2. Shallow or irregular breathing

3. Heartbeat is regular, strong and powerful, with a heart rate of 80-120 beats/min

4. Respond to external stimuli and have good muscle tone;

5. Laryngeal reflex exists.

6. The above symptoms are considered mild asphyxia, with an Apgar score of 4-7.

7. Pale skin and dark purple lips;

8. No breathing or only weak breathing like gasping;

9. Irregular heartbeat, heart rate <80 beats/min, and weak;

10. No response to external stimuli, and relaxed muscle tone;

11. Laryngeal reflex disappears.

12. If 7-11 items are present, it is severe asphyxia, with an Apgar score of 0-3.

Determination of the degree of asphyxia: Apgar scoring is a classic and simple method for clinical evaluation of the degree of birth asphyxia. Scoring 1 minute after birth can distinguish the degree of asphyxia, and scoring 5 minutes later can help predict the prognosis.

1. Routine scoring is performed at 1 minute and 5 minutes after birth. The 1 minute score is related to arterial blood pH, but they are not completely consistent. For example, if the mother uses anesthetics or analgesics during delivery, which causes respiratory depression in the newborn, the Apgar score may be low, but there is no intrauterine hypoxia and the blood gas changes are relatively mild. If the 5-minute score is less than 8 points, the score should be repeated every minute until the score is greater than or equal to 8 points for 2 consecutive times; or the Apgar score should be continued until 20 minutes after birth.

2. Apgar score judgment: A 1-minute Apgar score of 8 to 10 is normal, 4 to 7 is mild asphyxia, and 0 to 3 is severe asphyxia.

3. Significance of the assessment The 1-minute score reflects the severity of asphyxia. The 5-minute and 10-minute scores can reflect not only the severity of asphyxia but also the effectiveness of resuscitation and rescue.

4. Precautions should be assessed objectively, quickly and accurately; premature infants with small gestational age have low maturity and although they are not asphyxiated, their scores are low.

I believe you have already learned about the clinical manifestations of neonatal asphyxia in the above article. Basically, if a newborn baby has a disease, it can be discovered from some surface symptoms. We should also remind you that by taking some preventive measures in life, you can avoid many diseases from causing harm to the body.