296 Birth Asphyxia Survivors in a Developing Country.

Halloran, Donna R.; McClure, B G; Chomba, Elwyn; Wright, Larry L.; Carlo, Waldemar A.

doi:10.2310/6650.2005.x0008.295

Cited by 3 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study shows that women who have premature membrane rupture were 2.4 times more likely to have a newborn with birth asphyxia c than those who normal labor [AOR= 2.459; (95% CI: 1.021 - 6.076)]. A consistent finding was obtained from studies at Cameroon 24 , Uganda 27 , and Al-Diwaniya teaching hospital in Brazil 28 . This consistency can be justified by the fact that when fetal membranes rupture prematurely, a spontaneous gush of amniotic fluid happens along with the prolapse of the umbilical cord which is in turn accompanied by cord compression and subsequent asphyxia at birth.…”

Section: Discussionsupporting

confidence: 82%

Birth asphyxia and its associated factors among newborns at a tertiary hospital: evidence from Southern Ethiopia

Demisse,

Tadesse,

Kerebeza

et al. 2023

Afr H. Sci.

View full text Add to dashboard Cite

Background: Globally, 45% of under-five children death occurs during the neonatal period and about 25% of all neonatal deaths are caused by birth asphyxia. In Ethiopia, in 2015, it was the first cause of neonatal deaths followed by prematurity and sepsis. The study aims to assess prevalence of Birth asphyxia and associated factors. Methods: Institution-based cross-sectional study was conducted among neonates admitted to Neonatal intensive care unit of Hawassa University Specialized comprehensive hospital from December 1 to December 30, 2020. Systematic random sampling technique was employed to select samples. Logistic regression analysis using Statistical Package for Social sciences version 24was employed. Results: The prevalence of neonatal asphyxia in this study was17.9%. Prolonged labor [AOR (Adjusted odds ration) = 2.909; (95% CI (Confidence Interval): 1.184 – 7.151)], presence of meconium [AOR= 2.137; 95% CI 1.028 – 4.683)], premature rapture of membrane [AOR = 2.459; 95% CI: 1.021 – 6.076)] and complication during labor [AOR= 3.351; 95% CI: 2.142 – 5.871))], were factors associated with neonatal asphyxia. Conclusion and Recommendations: Nearly two in every ten newborns faced perinatal asphyxia in the study area. Early identification of high-risk women, intervening on delay in referral, and early and vigorous management of abnormal labor and complicated labor is essential to halt the problem. Keywords: Birth asphyxia; neonates; neonatal intensive care unit.

show abstract

Section: Discussionsupporting

confidence: 82%

Birth asphyxia and its associated factors among newborns at a tertiary hospital: evidence from Southern Ethiopia

Demisse,

Tadesse,

Kerebeza

et al. 2023

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…Thirty-two studies were found in East Africa [ 10 , 11 , 13 , 15 – 19 , 21 , 22 , 24 , 27 , 28 , 41 ], Five in west Africa [ 8 , 25 , 26 , 42 , 43 ] and three in central Africa [ 44 ]. Most of the studies were conducted using a cross-sectional study design.…”

Section: Resultsmentioning

confidence: 99%

“…In developing countries, birth asphyxia remains the main cause of neonatal morbidity and mortality [ 25 , 30 , 42 , 45 , 46 ]. As far as our exhaustive searching, there are no previous systematic reviews and meta-analyses done to estimate the pooled prevalence of birth asphyxia in Sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 99%

The effect of gestational age, low birth weight and parity on birth asphyxia among neonates in sub-Saharan Africa: systematic review and meta-analysis: 2021

et al. 2022

View full text Add to dashboard Cite

Background Despite simple and proven cost-effective measures were available to prevent birth asphyxia; studies suggested that there has been limited progress in preventing birth asphyxia even in healthy full-term neonates. In Sub-Saharan Africa, Inconsistency of magnitude of birth asphyxia and its association gestational age, Low birth Weight and Parity among different studies has been observed through time. Objective This study aimed to estimate the Pooled magnitude of birth asphyxia and its association with gestational age, Low birth Weight and Parity among Neonates in Sub-Saharan Africa. Method PubMed, Cochrane library and Google scholar databases were searched for relevant literatures. In addition, reference lists of included studies were retrieved to obtain birth asphyxia related articles. Appropriate search term was established and used to retrieve studies from databases. Searching was limited to cohort, cross-sectional, and case-control studies conducted in Sub-Saharan africa and published in English language. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. Heterogeneity across the included studies was evaluated by using the inconsistency index (I2) test. Funnel plot and the Egger’s regression test were used to test publication bias. A weighted inverse variance random effects- model was used to estimate the pooled prevalence of birth asphyxia among neonates in Sub-Saharan Africa. STATA™ version 11softwarewasused to conduct the meta-analysis. Result A total of 40 studies with 176,334 study participants were included in this systematic review and meta-analysis. The overall pooled magnitude of birth asphyxia in Sub-Saharan Africa was 17.28% (95% CI; (15.5, 19.04). low birth weight (AOR = 2.58(95% CI: 1.36, 4.88)), primigravida (AOR = 1.15 (95% CI: 0.84, 1.46) andMeconium-stained amniotic fluid (AOR = 6(95% CI: 3.69, 9.74)) werevariables significantly associated with the pooled prevalence of birth asphyxia. Conclusion The pooled magnitude of birth asphyxia was found to be high in Sub-Saharan Africa. Low birthweight and Meconium-stained amniotic fluid were variables significantly associated with birth asphyxia in Sub-Saharan Africa. Hence, it is better to develop early detection and management strategies for the affected neonates with low birth weight and born from mothers intrapartum meconium stained amniotic fluid.

show abstract

Prevalence and associated factors of birth asphyxia among live births at Debre Tabor General Hospital, North Central Ethiopia

Bayih

Yitbarek

Aynalem

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background More than one third of the neonatal deaths at Neonatal Intensive Care Unit (NICU) in Debre Tabor General Hospital (DTGH) are attributable to birth asphyxia. Most of these neonates are referred from the maternity ward in the hospital. Concerns have also been raised regarding delayed intrapartum decisions for emergency obstetrics action in the hospital. However, there has been no recent scientific evidence about the exact burden of birth asphyxia and its specific determinants among live births at maternity ward of DTGH. Moreover, the public health importance of delivery time and professional mix of labor attendants haven’t been addressed in the prior studies. Methods Hospital based cross sectional study was conducted on a sample of 582 mother newborn dyads at maternity ward. Every other mother newborn dyad was included from December 2019 to March 2020. Pre-tested structured questionnaire and checklist were used for data collection. The collected data were processed and entered into Epidata version 4.2 and exported to Stata version 14. Binary logistic regressions were fitted and statistical significance was declared at p less than 0.05 with 95% CI. Results The prevalence of birth asphyxia was 28.35% [95% CI: 26.51, 35.24%]. From the final model, fetal mal-presentation (AOR = 6.96: 3.16, 15.30), premature rupture of fetal membranes (AOR = 6.30, 95% CI: 2.45, 16.22), meconium stained amniotic fluid (AOR = 7.15: 3.07, 16.66), vacuum delivery (AOR =6.21: 2.62, 14.73), night time delivery (AOR = 6.01: 2.82, 12.79) and labor attendance by medical interns alone (AOR = 3.32:1.13, 9.78) were positively associated with birth asphyxia at 95% CI. Conclusions The prevalence of birth asphyxia has remained a problem of public health importance in the study setting. Therefore, the existing efforts of emergency obstetric and newborn care should be strengthened to prevent birth asphyxia from the complications of fetal mal-presentation, premature rupture of fetal membranes, meconium stained amniotic fluid and vacuum delivery. Moreover, night time deliveries and professional mixes of labor and/delivery care providers should be given more due emphasis.

show abstract

296 Birth Asphyxia Survivors in a Developing Country.

Cited by 3 publications

References 19 publications

Birth asphyxia and its associated factors among newborns at a tertiary hospital: evidence from Southern Ethiopia

Birth asphyxia and its associated factors among newborns at a tertiary hospital: evidence from Southern Ethiopia

The effect of gestational age, low birth weight and parity on birth asphyxia among neonates in sub-Saharan Africa: systematic review and meta-analysis: 2021

Prevalence and associated factors of birth asphyxia among live births at Debre Tabor General Hospital, North Central Ethiopia

Contact Info

Product

Resources

About