All the following are essential criteria for perinatal asphyxia except: (A) Prolonged metabolic alkalosis, (B) Persistence of Apgar score of 0-3 for >5 min, (C) Hypoxic ischemic encephalopathy (HIE) in the immediate neonatal period, (D) Evidence of multiorgan dysfunction in the immediate neonatal period
Answer is A. Essential criteria for perinatal asphyxia Prolonged metabolic or mixed acidemia (pH <7.0) on an umbilical aerial blood sample Persistence of Apgar score of 0-3 for >5 min Neurological manifestations, e.g. seizures, coma, hypotonia or hypoxic-ischemic encephalopathy (HIE) in the immediate neonatal period Evidence of multiorgan dysfunction in the immediate neonatal period Ref: Paediatrics; O.P. Ghai; 8th edition; Page no: 166