Neonatal asphyxia: A study of 210 cases

Üzel, Hülya; Kelekçi, Selvi; Devecioğlu, Celal; Güneş, Ali; Yolbaş, İlyas; Şen, Velat

doi:10.5799/ahinjs.01.2012.02.0143

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…This finding is similar to studies in Ethiopia, Cameroon, Colombia, and Pakistan [10, 18–20]. Regarding mode of delivery, 65(15.4%) neonates were delivered via caesarean section which is consistent with the WHO(world health organization) recommended rate, 10-15%, but lower than the studies in Turkey, China, Nepal, India, and Cameroon which was 38.1%, 42%, 22.1%, 25%, and 45.6%, respectively [12, 18, 21–24]. It might be due to cesarean section delivery promotions while mothers have no indications, in some nations.…”

Section: Discussionsupporting

confidence: 59%

“…It might be due to cesarean section delivery promotions while mothers have no indications, in some nations. Caesarean section was also strongly associated with birth asphyxia in comparison to vaginal delivery and various studies supported it with different study designs [12, 18, 24]. The risk of asphyxia may lower as the fetal chest passes through the birth canal (vagina) is compressed, squeezing excess fluid out of the lungs, which would be a risk for asphyxia.…”

Section: Discussionmentioning

confidence: 99%

“…This questionnaire is adapted from various related studies [9–12]. A pretested structured interviewer based questionnaire was used to collect data on maternal sociodemographic profiles, such as age and educational status.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and Associated Factors of Perinatal Asphyxia among Neonates in General Hospitals of Tigray, Ethiopia, 2018

Gebreheat

Gebru

Kiros

et al. 2018

BioMed Research International

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Perinatal asphyxia is one of the most important causes of morbidity and mortality in neonates. Perinatal asphyxia occurs in association with maternal, fetal, and maternofetal factors. However, the magnitude and associated factors of perinatal asphyxia are not well studied in Tigray, Ethiopia. Therefore, our study is conducted to determine the prevalence and factors associated with perinatal asphyxia among neonates in general hospitals of Tigray. An observational hospital-based cross-sectional study was conducted in randomly selected general hospitals. A semistructured questionnaire was used to collect data from 421 randomly selected neonates with their mothers and medical records. The data was entered into epidata version 3.5 and exported to Statistical Package for Social Sciences (SPSS) version 20 for analysis. Finally, the presence of an association between a dependent variable and an independent variables has been declared at P-value ≤0.05, or adjusted odds ratio (AOR), 95% confidence interval (CI). Accordingly, the result of this study showed that the prevalence of perinatal asphyxia among the selected general hospitals was 22.1%. Neonates born with cesarean section are seven times more likely to have perinatal asphyxia than those who are born spontaneously through the vagina (AOR, 6.97; CI (2.87-16.93)). In addition, neonates who are born meconium stained are 8.55 times more likely to have perinatal asphyxia than those who had not stained with meconium (AOR, 8.55; CI (4.20-17.39)). Neonates who are weighed less than 2.5 kg are 12.75 times more likely to have perinatal asphyxia than those who are weighed 2.5-4 kg (AOR, 12.75; CI (4.05-40.08)). Prolonged duration of labour was also associated statistically with perinatal asphyxia (AOR, 3.33, CI (1.32-8.38)). In conclusion, the magnitude of perinatal asphyxia in general hospitals of Tigray remains high. Low birth weight, meconium-stained amniotic fluid, cesarean section, and prolonged maternal labour have been associated with perinatal asphyxia.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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Prevalence and Associated Factors of Perinatal Asphyxia among Neonates in General Hospitals of Tigray, Ethiopia, 2018

Gebreheat

Gebru

Kiros

et al. 2018

BioMed Research International

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“…The occurrence of birth asphyxia was 3.99 times more likely among emergency caesarean deliveries as compared to SVD. This is comparable to a similar study conducted in Turkey (10). This could be explained by the fact that indications for the caesarean sections were mostly due to prolonged obstructed labour, CPD, meconium-stained amniotic uid, and a non-reassuring foetal heartbeat.…”

Section: Discussionsupporting

confidence: 85%

Determinants of birth Asphyxia among newborns in Adama Hospital Medical College, Adama town, Oromia region, Ethiopia: A case control study

Alemayehu,

Fati,

Megerso

et al. 2023

Preprint

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Background: Perinatal asphyxia is a common and serious global health problem. According to the World Health Organization, four million neonatal deaths occur each year due to birth asphyxia. Babies born in sub-Saharan Africa have a very high risk of birth asphyxia, which accounts for approximately 280,000 deaths per year. In Ethiopia, nearly 250,000 children die every year before reaching their fifth birthday; approximately one-fourth of these are newborns who die of birth asphyxia. Although asphyxia is a serious health problem, evidence on its determinants is scarce or not readily available in the country in general, and in the study area in particular. Therefore, this study aimed to identify the determinants of birth asphyxia in newborns. Methods: A retrospective case-control study was conducted involving a sample of 345 newborns born at Adama Hospital Medical College from November 1, 2017, to February 30, 2018. All newborns diagnosed with birth asphyxia (Apgar score < 7 at 1st minute) were considered "cases" while newborns with no asphyxia (Apgar score ≥ 7 at 1st minute) were considered "controls.” The sample size was determined using the Epi Info 7 Statcalc in the facility with assumptions of a 95% confidence interval, 80% power, and an odds ratio of 2.5. Ethical issues were secured by the ethical committee of the Adama Hospital Medical College. Primary data were collected using structured and interviewer-administered questions regarding possible risk factors from mothers and newborns. The collected data were checked for completeness, entered using Epi Info7, and exported to SPSS version 20 for analysis. Results: Of 345 newborns, 115 were cases and 230 were controls. The median maternal age in the case and control groups was 26 years, with IQR of 23–30 years and 23–29 years, respectively. Significant perinatal risk factors of birth asphyxia were rural residence (AOR: 2.34 95% CL 1.29-4.26), prolonged labour (AOR: 10.12 95% CL 5.36-19.11), prolonged rupture of membrane (AOR: 3.47 95% CL 1.52-7.92), instrumental delivery (AOR: 2.67 95% CL 1.15-6.16), delivery by emergency C/S (AOR: 3.9 95% CL 1.84-8.63), cephalopelvic disproportion (AOR: 5.90 95% CL 1.54-30.17), breech presentation (AOR:2.4 95% CL 1.01-5.74) Preterm delivery (AOR: 9.34, 95% CI: 2.20–39.70) and low birth weight (AOR: 2.69, 95% CI: 1.06–6.75) Conclusion: Most of the risk factors associated with birth asphyxia can be prevented. Therefore, early and accurate diagnosis and proper management can reduce the incidence of birth asphyxia.

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“…Ethiopia has made significant progress in reducing neonatal morbidity and mortality by implementing a comprehensive national child survival strategy in 2015 and guidelines to treat birth asphyxia [11,[30][31][32]; however, birth asphyxia is still the leading cause of neonatal deaths in the country [33,34]. Determinants of birth asphyxia might vary across the regions and particularly in a country with varied culture, socio-economic characteristics, and delays in reaching the health facility and receiving care are challenging [33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, Central Ethiopia: A case-control study

et al. 2021

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Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of <7 at first and fifth minute of birth and controls were newborns with APGAR score of ≥ 7 at first and fifth minute of birth. All newborns with birth asphyxia during the study period were included in the study while; two comparable controls were selected consecutively after each birth asphyxia case. A pre-tested and structured questionnaire was used to collect maternal socio-demographic and antepartum characteristics. The pre-tested checklist was used to retrieve intrapartum and fetal related factors from both cases and controls. The collected data were entered using Epi-Info and analyzed by SPSS. Bi-variable logistic regression analysis was done to identify the association between each independent variable with the outcome variable. Adjusted odds ratio (AOR) with a 95% CI and a p-value of <0.05 was used to identify determinants of birth asphyxia. In this study, prolonged labor (AOR = 4.15, 95% CI: 1.55, 11.06), breech presentation (AOR = 5.13, 95% CI: 1.99, 13.21), caesarean section delivery (AOR = 3.67, 95% CI: 1.31, 10.23), vaginal assisted delivery (AOR = 5.69, 95% CI: 2.17, 14.91), not use partograph (AOR = 3.36, 95% CI: 1.45, 7.84), and low birth weight (AOR = 3.74, 95% CI:1.49, 9.38) had higher odds of birth asphyxia. Prolonged labor, breech presentation, caesarean and vaginal assisted delivery, fails to use partograph and low birth weights were the determinants of birth asphyxia. Thus, health care providers should follow the progress of labor with partograph to early identify prolonged labor, breech presentation and determine the mode of delivery that would lower the burden of birth asphyxia.

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Neonatal asphyxia: A study of 210 cases

Cited by 6 publications

References 13 publications

Prevalence and Associated Factors of Perinatal Asphyxia among Neonates in General Hospitals of Tigray, Ethiopia, 2018

Prevalence and Associated Factors of Perinatal Asphyxia among Neonates in General Hospitals of Tigray, Ethiopia, 2018

Determinants of birth Asphyxia among newborns in Adama Hospital Medical College, Adama town, Oromia region, Ethiopia: A case control study

Determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, Central Ethiopia: A case-control study

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