ABSTRACT
A prospective study on birth asphyxia was done in neonatal unit of Children Hospital CMC Larkana. 150 cases were studied during a period of one year from 1-1-1994 to 31-12-1994. Major objective of this study was to find out the causes of high incidence of birth asphyxia and its outcome besides looking at the presentation of birth asphyxia. Confirmed cases of birth asphyxia constituted 25 percent of admissions in this neonatal unit, 70 percent were male and majority of babies [55 percent] were brought into hospital after 24 hours of delivery. Late cry after birth and cyanosis were the presenting complaints in majority of babies. Again cyanosis and absence of primitive reflexes were the important findings on examination. Deliveries conducted by doctors in hospital did not make any significant difference as compared to deliveries conducted by Dais at home. Mortality rate was 24 percent
Subject(s)
Humans , Male , Female , Asphyxia Neonatorum/diagnosis , Infant, NewbornABSTRACT
Cerebral malaria is one of the serious complications of malaria and is not uncommon in Pakistan. It is known to be caused by plasmodium falciparum but recently world health organization [WHO] bas reported the occurrence of cerebral malaria due to plasmodium vivax also. 380 cases of cerebral malaria were collected from Jan 90 to Dec. 94 at the children hospital CMC Larkana [350 cases were found to be due to falciparum and 30 cases due to vivax]. Age of patients varied from 3 months to 10 years. In all cases Lumbar Puncture [L.P.] peripheral smear for parasitemia, blood CP and ESR was done. They were all treated with injection Quinine dihydrochloride for 5 days in addition to symptomatic and supportive care and peripheral smear for evidence of parasitaemia [NIP] was repeated every day until it became negative. Mortality rate in cases of cerebral malaria due to vivax was 3.3% as compared to II% in cerebral malaria due to falciparum. None of the survivors had any complications