Infant Born with Severe Perinatal Asphyxia Was Succesfully Revived By HMG NICU Team
I would like to share with you the information regarding the enormous success that was achieved by the LDR and NICU team: doctors and nurses, in saving the baby who was undergoing life threatening chain of events at birth caused by complete placental abruption followed by severe asphyxia, hypovolemic shock and hypoxic ischemic encephalopathy (HIE). Baby was born with not detectable heart beats and was reviewed after 5th minute of life.
Dr. Sheta, together with the NICU nurses and anesthetist , Dr Marzena, performed a prompt, NRP guided neonatal resuscitation as the baby did not show signs of life at birth.
As Therapeutic Hypothermia is the only known method that can be used for brain protection for Hypoxic Ischemic Encephalopathy (HIE), I decided to start cooling, although baby was borderline premature for this procedure. She completed 72 hours of therapeutic hypothermia, where the body temperature is decreased to 33.5-34.0 degrees Celsius. Brain MRI on day 7 did not show any significant abnormality and head US done at 14 day of life is normal.
Her neurological examination is satisfying, she has normally developed neonatal reflexes. She is breastfeeding and going home today, after 19 days in the NICU.
Hypoxic Ischemic Encephalopathy is one of the most challenging condition in the neonatal period and placental abruption is the most commonly seen reason. Prompt LSCS can increase the chance of survival but even in the world’s best Neonatal Units, mortality rate is high.She is 38 +2/7 weeks corrected gestational age with good outcome as for now. We will monitor her neuro development together with Dr Babiker.
I would like to thank my whole NICU team for an outstanding work, dedication, compassion and skills. Dr Marzena Pogorzelska, for stepping in and taking active part in this baby resuscitation , Dr Hiba, OBG and LDR team, for immediate delivery via LSCS and Dr Babiker for his expertise during this baby hospitalization.
I can say that …..it is a miracle story.
With best regards
Agata Moscicka MD, PhD
Head of Neonatal Services
International Board Certified Lactation Consultant
Dr. Sulaiman Al-Habib Hospital, Dubai