To Study the Incidence of Renal Failure in Birth Asphyxia and to Correlate the Severity and Type of Renal Failure using AKIN Criteria and Levine's Staging of HIE

Background: special neonatal care unit is a tertiary care centre where neonates with birth asphyxia are admitted. As kidneys are very sensitive to oxygen deprivation, because renal Insufficiency may occur within 24 hours of a hypoxic ischemic episode, which if prolonged may even lead to irreversible cortical necrosis. (6) Early recognition of renal failure is important in a babies with birth asphyxia to facilitate appropriate fluid and electrolyte management to decrease the incidence of acute kidney injury. Method: Analysis of serial serum creatinine levels up to 96 hours of life and urine output of 24 hour of life in a term inborn birth asphyxiated babies were admitted in SNCU of M. G. M Medical college Indore from june 2017 to june 2018. Statistics analysis were done using Chi-square test, annova test. Results: A total of 50 term Birth Asphyxiated inborn babies were included in the study. In our study, Overall incidence of AKI was 56 %. The incidence of AKI in mild BA was 25 %, 50 % in moderate BA and 100 % in severe BA. Urine output was less in severe birth asphyxia comparison to mild and moderate birth asphyxia but oliguria was not found in all grades of HIE. Conclusions: All asphyxiated babies with Apgar score