IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-5-15458 Original Research Paper serum calcium levels correlation with severity of hypoxic ischemic encephalopathy. Kalyani srinivas Dr. Dr. K Sujatha Dr. Dr. Namala Bharadwaj Dr. May 2018 7 5 01 02 ABSTRACT

 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.