How is the condition of the newborn asphyxia?

Patient's question:

That baby had asphyxia at birth and scored 4 points, but reached 8 points half an hour later. How is the condition? The doctor at the hospital told me that your baby needed to be observed for 24 hours due to asphyxia caused by a narrow birth canal. Asphyxia doesn't have a score?

Doctor's answer:

Neonatal asphyxia refers to a condition caused by various prenatal, intrapartum, or postnatal factors that lead to fetal hypoxia, resulting in fetal distress in utero or respiratory and circulatory disorders during delivery. This condition causes the newborn to lack spontaneous breathing or fail to establish regular breathing within the first minute after birth, primarily characterized by hypoxemia, hypercapnia, and acidosis as the main pathological and physiological changes. Newborns must be promptly assessed immediately after birth and undergo cardiopulmonary resuscitation. If the four-minute assessment score reaches 8, it indicates that the rescue efforts have been successful.

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