Asphyxia

Question 2

Def of Fetal Distress (Intrauterine - Fetal Asphyxia)

Answer 2

• State of inadequate oxygenation & inadequate elimination of CO2 that results in metabolic acidosis if persists for long time.

Question 3

Etiology of Acute Fetal Distress (Intrapartum Asphyxia)

Answer 3

• Maternal
• Fetal
• Placental
• Cord

Question 4

Etiology of Acute Fetal Distress (Intrapartum Asphyxia)

• Maternal Causes

Question 5

Maternal Causes of Acute Fetal Distress

• Hypoxic Anoxia

Answer 5

Due to

• pulmonary obstruction
• pulmonary TB
• bilateral pneumonia
• prolonged anesthesia
• convulsive fits.

Question 6

Maternal Causes of Acute Fetal Distress

• Stagnant Hypoxia

Answer 6

Due to:

• HF
• pulmonary edema
• severe shock.

Question 7

Maternal Causes of Acute Fetal Distress

• Anemic Anoxia

Answer 7

Due to:

• severe anemia (from Hge).

Question 8

Maternal Causes of Acute Fetal Distress

• Histotoxic Anoxia

Answer 8

As in

• barbiturate poisoning

Question 9

Causes of Acute Fetal Distress

• Fetal

Answer 9

• Cerebral edema & ischemia from prolonged labor or difficult forceps (due to ICH or depressed skull fractures).

Question 10

Causes of Acute Fetal Distress

• Placental

Answer 10

• Placental insufficiency
• Placental separation
• Placental compression

Question 11

Placental Causes of Acute Fetal Distress

• Placental Insufficiency

Answer 11

Due to:

• small placenta
• placental thrombosis
• multiple placental infarcts
• placental aging.

Question 12

Placental Causes of Acute Fetal Distress

• Placental Separation

Answer 12

As in:

• placenta previa
• accidental Hge.

Question 13

Placental Causes of Acute Fetal Distress

• Placental Compression

Answer 13

Due to:

• Tetanic uterine contraction
• Prolonged labor after ROM
• Compression by head in placenta previa type lI posterior.

Question 14

Causes of Acute Fetal Distress

• Cord

Answer 14

• Cord prolapses
• Cord compression
• Hematoma, True knots, or tight coils of cord around fetal neck.
• Avulsion of cord
• Rupture of vasa previa.

Question 15

Cord Causes of Acute Fetal Distress

• Cord Prolapse

Answer 15

Leading to cord compression & vasospasm of its vessels.

Question 16

Cord Causes of Acute Fetal Distress

• Cord Compression

Answer 16

• By uterine contraction after drainage of liquor or by forceps blades.

Question 17

Dx of Acute Fetal Distress

Answer 17

Question 18

Dx of Acute Fetal Distress

• AF

Answer 18

Meconium-stained liquor in cephalic presentation.

Question 19

Dx of Acute Fetal Distress

• FHR

Answer 19

Question 20

Managment of Acute Fetal Distress

Answer 20

• Conservative
• Active

Question 21

Managment of Acute Fetal Distress

• Conservative

Answer 21

Question 22

Managment of Acute Fetal Distress

• Active

Answer 22

Question 23

Def of Asphyxia Neonatorum

Answer 23

• Failure of establishment of good pulmonary circulation & respiratory function after birth.

Question 24

Etiology of Asphyxia Neonatorum

Answer 24

Question 25

Etiology of **Asphyxia Neonatorum** - CNS Failure

Answer 25

Question 26

Etiology of **Asphyxia Neonatorum** - Peripheral Failure

Answer 26

Question 27

Complications of **Asphyxia Neonatorum**

Answer 27

Question 28

Dx of **Asphyxia Neonatorum**

Answer 28

- APGAR Score - Clinical Picture

Question 29

**APGAR Score for Asphyxia Neonatorum** - Scoring

Answer 29

Question 30

CP of **Asphyxia Neonatorum**

Answer 30

Question 31

Prevention of **Asphyxia Neonatorum**

Answer 31

- Antenatal - Intranatal

Question 32

Prevention of **Asphyxia Neonatorum** - Antenatal

Answer 32

Proper ANC to high-risk cases.

Question 33

Prevention of **Asphyxia Neonatorum** - Intranatal

Answer 33

Question 34

TTT of **Asphyxia Neonatorum**

Answer 34