Lactate and S100 Protein as Early Biochemical Indicators of Birth Neonatal Asphyxia Caused by Intrauterine Umbilical Cord Strangulation: A Medicolegal View | ||
| Zagazig Journal of Forensic Medicine and Toxicology | ||
| Article 12, Volume 20, Issue 1, January 2022, Pages 132-145 PDF (495.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zjfm.2022.101126.1093 | ||
| Authors | ||
| Haidy mohammed Fakher* 1; Rabab El-Shafey2; Aliaa Mohamed Diab3; Shaimaa Abdelmaksoud3; Heba Abdel Raziq4 | ||
| 1forensic medicine, benha faculty of medicine | ||
| 2forensic medicine benha faculty of medicine | ||
| 3Department of Pediatrics, Benha Faculty of Medicine | ||
| 4Department of Obstetrics and Gynecology Benha Faculty of Medicine | ||
| Abstract | ||
| Background: From a forensic pathologist’s perspective, there are several aspects of the perinatal postmortem that are particularly important if the baby was born alive or dead. In cases of litigation for perinatal morbidities occurring in hospitals, access to the obstetric and neonatal notes if the baby is born alive and dies a few hours or days later is essential to reach a correct interpretation and conclusion. Hypoxic ischemic encephalopathy (HIE) after prenatal asphyxia is an important cause of neonatal morbidity and long-term neurological disability. It has many causes including intrauterine strangulation by umbilical cord (nuchal cord). Failure of early diagnosis of neonatal asphyxia and its treatment is considered a medicolegal negligence against the doctors. Aim: The present study aimed to use cord blood lactate & S100 protein levels as early markers of neonatal hypoxia caused by nuchal cord to minimize the risk of medicolegal liabilities against the doctors and hospitals. Methods: This is a comparative cross-sectional study conducted on 30 hypoxic neonates due to intrauterine cord strangulation. Lactate & S100 protein levels in the cord blood were measured. These were compared to 30 apparently healthy neonates matched in age, sex and body weight as a control group. Results: Lactate & S100 protein levels in cord blood were a higher significant difference in HIE neonates than control group. In conclusion: lactate & S100 protein levels in cord blood could be used as an early marker for diagnosis of neonatal HIE | ||
| Keywords | ||
| Hypoxic; ischemic; encephalopathy; Nuchal cord; Lactate; S100 protein | ||
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