Introduction: Perinatal asphyxia (PA) is one of the reasons for the
transfer of the newborn to neonatal resuscitation services. The objective of
this work was to study the epidemiological, obstetrical, clinical and
evolutionary aspects of PA at the Ziguinchor Peace Hospital. Materials and
methods: This was a retrospective study of cases of hospitalized HAs during
the period 1 December 2015 to 31 May 2017. The diagnosis of PA was
based on an anomaly of the rhythm Fetal heart rate and / or amniotic fluid
abnormality; A score of Apgar <7 at the 5th minute and / or the absence of
an immediate cry at birth. We collected epidemiological, obstetric, clinical
and evolutionary data. Results: We collected 153 cases of PA (90 boys and
63 girls) among 742 newborns, an incidence of 20.6% of neonatal
hospitalizations. The mean age of mothers was 17.2 years; 82.0% of mothers
were between 18 and 35 years of age and half (50.3%) had four or more
NPCs. Anemia (37.0%), maternal infection (36.4%), hypertension (30.9%),
premature rupture of membranes (RPM) (28.6%), eclampsia and Preeclampsia
(9.9%) were the main obstetric complications. The delivery was
performed by Caesarean section in 52.3% of cases and by low procedure in
47.7% of cases.