IJSR - International Journal of Scientific Research

Volume : VII, Issue : V, May - 2018

Dr Kalyani Srinivas, Dr. Hima Bindu Singh, Dr. K Sujatha, Dr. Lingaldinna Swapna, Dr. Namala Bharadwaj, Dr. Lakshmi Gayathri M

BACKGROUND: Perinatal asphyxia is one of the top causes of neonatal morbidity and mortality. It accentuates the physiological fall in serum

calcium levels in neonates leading to hypocalcemia which may be due to several factors.

AIMS AND OBJECTIVES: assess the serum calcuim levels of newborn after birth asphyxia and to find out any correlation of levels of serum

calcium with severity of asphyxia.

METHODOLOGY: This is a Hospital based observational study conducted at tertiary care hospital in india. Babies with APGAR score of less

than 7 at 5 minute were included in the study. Babies were divided in to two groups . Group A mild grade birth asphyxia and group B moderate to

severe birth asphyxia. data was analyzed and appropriate statistical analysis done.

RESULTS: total 110 babies had birth asphyxia during this period of study and were included in the study. Group A had 80 babies mild birth

asphyxia and group 2 had 30 babies moderate to severe birth asphyxia. Hypocalcemia was present in 41 cases of birth asphyxia babies of total 110

babies (37.7%). Group A 25 babies had hypocalcemia of total 80 babies (31.25%) with mean serum calcium levels of 5.85 and in group B 16 babies

had hypocalcemia of total 30 babies (53.3%) with mean serum calcium levels of 5.81. Serum calcium values were not statistically significant

between cases of hypocalcemia in Group A and Group B with p value of 0.80.

CONCLUSION: hypocalcemia was more common in moderate to severe cases of hypoxic encephalopathy cases compared to mild cases but

serum calcium levels were not statistically significant between two groups.