Neonatal Birth Trauma and Its Predisposing Factors Among Newborns Admitted to Public Hospitals in Eastern Ethiopia: A Cross-Sectional Study

Tolosa, Gadissa; Assefa, Nega; Keneni, Mulualem; Lonsako, Arega Abebe; Desalew, Assefa

doi:10.1177/2333794x231183814

Cited by 5 publications

(21 citation statements)

References 27 publications

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“…There were 365,547 live births from Ethiopia [ 25 , 26 , 29 , 30 , 32 , 36 ], Ghana [ 18 , 46 ], Nigeria [ 19 , 47 – 54 ], Cameroon [ 55 ], Niger [ 56 ], India [ 20 – 22 , 57 , 58 ], Israel [ 59 ], Iran [ 24 , 28 , 33 , 60 – 64 ], Pakistan [ 65 ], Thailand [ 27 ], Iraq [ 31 ] and Saudi Arabia [ 23 , 66 ]. Nineteen of 37 studies (51.4%) were conducted in African countries [ 18 , 19 , 25 , 26 , 29 , 30 , 32 , 36 , 46 – 56 ]. The remaining 18 studies (48.6%) were conducted in Asian countries [ 20 – 24 , 27 , 28 , 31 , 33 , 57 – 66 ].…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 18 studies (48.6%) were conducted in Asian countries [ 20 – 24 , 27 , 28 , 31 , 33 , 57 – 66 ]. The authors employed cross-sectional [ 18 – 30 , 32 , 36 , 46 – 66 ] and case-control [ 31 , 33 ] observational epidemiological study designs. The study sizes ranged from 131 [ 33 ] to 118,280 [ 59 ] live births.…”

Section: Resultsmentioning

confidence: 99%

“…In LMICs, estimates from individual studies suggest that the cumulative incidence of birth-related trauma ranges from an estimated 3 per 1,000 live births [ 18 ] to 869 per 1,000 live births [ 19 ] in Africa; 3 per 1,000 live births [ 20 , 21 ] to 4.7 per 1,000 live births [ 22 ] in Asia and Pacific region; and 6.7 per 1,000 live births [ 23 ] to 87.3 per 1,000 live births [ 24 ] in the middle east. Operative vaginal deliveries such as vacuum extractions or forceps [ 25 – 34 ], fetal presentation other than vertex [ 25 , 26 , 30 , 31 , 35 , 36 ], shoulder dystocia [ 28 , 29 , 31 ], gestational age [ 35 ], prolonged labor [ 27 , 29 , 31 , 36 ], general anesthesia [ 35 ], and newborn birth weight greater than 4000 grams [ 26 , 29 , 30 , 34 , 36 ] have been found to increase the odds of sustaining birth trauma. Moreover, logistic regression analysis demonstrated that nulliparous women [ 25 , 28 ], lack of or inadequate antenatal care follow-up [ 29 , 30 , 32 , 36 ], gestational diabetes mellitus [ 36 ], residence in rural settings [ 25 , 26 , 30 ], maternal age [ 32 , 35 ], and abnormal fetal heart rate patterns [ 25 ] have been correlated with a statistically significant increase in neonatal birth trauma.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal birth trauma and associated factors in low and middle-income countries: A systematic review and meta-analysis

Woldegeorgis,

Gebrekidan,

Kassie

et al. 2024

PLoS ONE

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Neonatal birth trauma, although it has steadily decreased in industrialized nations, constitutes a significant health burden in low-resource settings. Keeping with this, we sought to determine the pooled cumulative incidence (incidence proportion) of birth trauma and identify potential contributing factors in low and middle-income countries. Besides, we aimed to describe the temporal trend, clinical pattern, and immediate adverse neonatal outcomes of birth trauma. We searched articles published in the English language in the Excerpta Medica database, PubMed, Web of Science, Google, African Journals Online, Google Scholar, Scopus, and in the reference list of retrieved articles. Literature search strategies were developed using medical subject headings and text words related to the outcomes of the study. The Joana Briggs Institute quality assessment tool was employed and articles with appraisal scores of seven or more were deemed suitable to be included in the meta-analysis. Data were analyzed using the random-effect Dersimonian-Laird model. The full search identified a total of 827 articles about neonatal birth trauma. Of these, 37 articles involving 365,547 participants met the inclusion criteria. The weighted pooled cumulative incidence of birth trauma was estimated at 34 per 1,000 live births (95% confidence interval (CI) 30.5 to 38.5) with the highest incidence observed in Africa at 52.9 per 1,000 live births (95% CI 46.5 to 59.4). Being born to a mother from rural areas (odds ratio (OR), 1.61; 95% CI1.18 to 2.21); prolonged labor (OR, 5.45; 95% CI 2.30, 9.91); fetal malpresentation at delivery (OR, 4.70; 95% CI1.75 to 12.26); shoulder dystocia (OR, 6.11; 95% CI3.84 to 9.74); operative vaginal delivery (assisted vacuum or forceps extraction) (OR, 3.19; 95% CI 1.92 to 5.31); and macrosomia (OR, 5.06; 95% CI 2.76 to 9.29) were factors associated with neonatal birth trauma. In conclusion, we found a considerably high incidence proportion of neonatal birth trauma in low and middle-income countries. Therefore, early identification of risk factors and prompt decisions on the mode of delivery can potentially contribute to the decreased magnitude and impacts of neonatal birth trauma and promote the newborn’s health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neonatal birth trauma and associated factors in low and middle-income countries: A systematic review and meta-analysis

Woldegeorgis,

Gebrekidan,

Kassie

et al. 2024

PLoS ONE

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“…Sensitivity analysis was done by removing outliers and inliers, and no significant difference was investigated. While removing outliers, we noticed that the pooled prevalence of neonatal birth trauma was 15% (95% CI [12][13][14][15][16][17][18], and after removing inliers, the pooled prevalence was 14% (95% CI 12-15), so we can say this metaanalysis result is not sensitive.…”

Section: Sensitivity Analysismentioning

confidence: 99%

“…Not applicable. 8,10,13,16 Random Less 24 (13-36) 83. 16 .00 Cephalohematoma [8][9][10]13,16 Random Marked 27 93.06 .00 Skeletal fractures 8,9,12,16 Random Marked 18 (4-32) 93.20 .00 Soft tissue injury 8,9,12,13,16 Random Marked 17 (5-48) 97.57 .00 Nerve injury 8,9,13,16 Random Less 13 (6-21) 74.24 .01…”

Section: Consent For Publicationmentioning

confidence: 99%

Prevalence and Patterns of Neonatal Birth Trauma in Ethiopia: Systematic Review and Meta-Analysis

Balis

Hunde²,

Lami

2023

Global Pediatric Health

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Introduction. Neonatal death is still alarming in low-income countries including Ethiopia, accounts 30 death per 1000 alive births. Birth trauma is the second most common contributing factors for the death. Nevertheless, there is no aggregate evidence on the prevalence and patterns of neonatal birth trauma in Ethiopia. Therefore, this study aimed to assess the pooled prevalence and patterns of neonatal birth trauma in Ethiopia. Methods. Searching databases including PubMed, MEDLINE, Popline, SCOPUS, Web of Science, EMBASE, CINHAL (EBSCO), Google, Google Scholar, and lists of references were used to search literatures in Ethiopia. STATA version 14 was used for analysis, and the odds ratios of the outcome variable were determined using the random-effects model. Heterogeneity among the studies was assessed by computing values for I2 and P-values. Also, sensitivity analysis and funnel plot were done to assess the stability of pooled values to outliers and publication bias. Results. A total of 6 studies with a sample size of 3663 were included in this study. The overall prevalence of neonatal birth trauma was 15% (95% CI: 13-16). Subgaleal hemorrhage (39%), cephalohematoma (27%), and caput succedaneum (24%) were the most common neonatal birth trauma in Ethiopia. Meta-analyses and sensitivity analyses showed the stability of the pooled odds ratios, and the funnel plots did not show publication bias. Conclusion. This systematic review and meta-analysis revealed a high prevalence of neonatal birth trauma in Ethiopia. Moreover, most of the neonatal birth injuries were severe and life-threatening that need medical attention to safe the neonates and its life long complications.

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Neonatal mortality risk of vulnerable newborns by fine stratum of gestational age and birthweight for 230 679 live births in nine low‐ and middle‐income countries, 2000–2017

Hazel,

Erchick,

Katz

et al. 2024

BJOG

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ObjectiveTo describe the mortality risks by fine strata of gestational age and birthweight among 230 679 live births in nine low‐ and middle‐income countries (LMICs) from 2000 to 2017.DesignDescriptive multi‐country secondary data analysis.SettingNine LMICs in sub‐Saharan Africa, Southern and Eastern Asia, and Latin America.PopulationLiveborn infants from 15 population‐based cohorts.MethodsSubnational, population‐based studies with high‐quality birth outcome data were invited to join the Vulnerable Newborn Measurement Collaboration. All studies included birthweight, gestational age measured by ultrasound or last menstrual period, infant sex and neonatal survival. We defined adequate birthweight as 2500–3999 g (reference category), macrosomia as ≥4000 g, moderate low as 1500–2499 g and very low birthweight as <1500 g. We analysed fine strata classifications of preterm, term and post‐term: ≥42+0, 39+0–41+6 (reference category), 37+0–38+6, 34+0–36+6,34+0–36+6,32+0–33+6, 30+0–31+6, 28+0–29+6 and less than 28 weeks.Main outcome measuresMedian and interquartile ranges by study for neonatal mortality rates (NMR) and relative risks (RR). We also performed meta‐analysis for the relative mortality risks with 95% confidence intervals (CIs) by the fine categories, stratified by regional study setting (sub‐Saharan Africa and Southern Asia) and study‐level NMR (≤25 versus >25 neonatal deaths per 1000 live births).ResultsWe found a dose–response relationship between lower gestational ages and birthweights with increasing neonatal mortality risks. The highest NMR and RR were among preterm babies born at <28 weeks (median NMR 359.2 per 1000 live births; RR 18.0, 95% CI 8.6–37.6) and very low birthweight (462.8 per 1000 live births; RR 43.4, 95% CI 29.5–63.9). We found no statistically significant neonatal mortality risk for macrosomia (RR 1.1, 95% CI 0.6–3.0) but a statistically significant risk for all preterm babies, post‐term babies (RR 1.3, 95% CI 1.1–1.5) and babies born at 370–386 weeks (RR 1.2, 95% CI 1.0–1.4). There were no statistically significant differences by region or underlying neonatal mortality.ConclusionsIn addition to tracking vulnerable newborn types, monitoring finer categories of birthweight and gestational age will allow for better understanding of the predictors, interventions and health outcomes for vulnerable newborns. It is imperative that all newborns from live births and stillbirths have an accurate recorded weight and gestational age to track maternal and neonatal health and optimise prevention and care of vulnerable newborns.

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Neonatal Birth Trauma and Its Predisposing Factors Among Newborns Admitted to Public Hospitals in Eastern Ethiopia: A Cross-Sectional Study

Cited by 5 publications

References 27 publications

Neonatal birth trauma and associated factors in low and middle-income countries: A systematic review and meta-analysis

Neonatal birth trauma and associated factors in low and middle-income countries: A systematic review and meta-analysis

Prevalence and Patterns of Neonatal Birth Trauma in Ethiopia: Systematic Review and Meta-Analysis

Neonatal mortality risk of vulnerable newborns by fine stratum of gestational age and birthweight for 230 679 live births in nine low‐ and middle‐income countries, 2000–2017

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