Epidemiological study of hypoxic- ischemic encephalopathy in newborn babies in al-khansaa and al-batool teaching hospitals in mosul city.

Hypoxic-ischemic encephalopathy (HIE) is an important cause of neonatal morbidity and mortality that may lead to permanent damage to brain tissue. It is result from lack of oxygen and /or ischemia to the brain before, during and after delivery. To determine the prevalence rate of Hypoxic Ischemic Encephalopathy (HIE) in Al-Khansaa and Al-Batool Teaching Hospitals in Mosul city from the April 1st 2018 until the end of December 2018, and to assess selected risk factors which may be reliable predictors for HIE, as well as the contribution of these risk factors to the severity of HIE . This is a case control study, 94 cases (43 among 16950 in Al-Khansaa teaching hospital and 51 among 18450 in Al-Batool teaching hospital) of the total number of 35400 born in these two hospitals had HIE The babies were delivered at one of these two hospitals during 9 months between April 1st , 2018, and the end of December 2018, with Apgar scores of <7 at 5 minutes and displayed any clinical criteria of HIE (altered tone, depressed level of consciousness, or seizures), with or without the signs and symptoms of other asphyxiated organs; after the exclusion of other differential diagnoses of HIE by related clinical examinations and laboratory investigations. The total number of live births delivered in Al-Khansaa and Al- Batool Teaching Hospitals during this 9 month study was 35,400. Of the total number of live births, 94 met the clinical criteria of HIE included in this study. The incidence of newborns with HIE was 2.65/1000 live births. The number of newborns with mild HIE was 17, the number of newborns with moderate HIE was 32, and the number of newborns with severe HIE was 45 (as shown in table 1). The incidence of moderate to severe HIE was 2.17 /1000 live births.