Perinatal asphyxia in term neonates seen in Federal Medical Centre, Birnin Kudu, Nigeria

Idris, Umma

doi:10.4103/ijhas.ijhas_11_18

Cited by 5 publications

(9 citation statements)

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“…This is comparable with the study conducted in Sri Lanka which was 40.6% [24]. But it is higher than the reports from [25], Gusau, Nigeria (25.5%) [15], and Birnin Kudu, Nigeria (10.3%) [26]. However, the frequency found in this study is lower than the 62.5% fatality rate from Dar es Salaam, Tanzania [18].…”

Section: Discussionsupporting

confidence: 78%

Prevalence and Associated Factors of Perinatal Asphyxia in Neonates Admitted to Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Cross-Sectional Study

Gebregziabher

Hadgu

Abebe

2020

International Journal of Pediatrics

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Background. Perinatal asphyxia is defined as the inability of the newborn to initiate and sustain enough respiration after delivery and is characterized by a marked impairment of gas exchange. It is one of the most common causes of neonatal mortality and morbidity. There are very few studies on perinatal asphyxia in Tigray, and so this study is aimed at assessing the prevalence and associated factors of perinatal asphyxia in Ayder Comprehensive Specialized Hospital NICU, Tigray, Ethiopia. Methods. An institution-based cross-sectional study design was conducted among neonates admitted to Ayder Comprehensive Specialized Hospital from January 1, 2016, to December 30, 2017. Medical records of 267 neonates admitted to the neonatal intensive care unit were selected by a systematic sampling method, and relevant information was collected using a checklist. The data was analyzed using SPSS version 20. Descriptive statistics were computed to determine the prevalence of birth asphyxia and sociodemographic and obstetrics data. Binary logistic regression was used to test associations between the associated factors and perinatal asphyxia. First bivariate analysis was performed to assess the association without controlling the effect of other independent variables. Variables with P value < 0.25 were fitted to the multivariable binary logistic regression model. Finally, variables with P value < 0.05 were expressed as associated factors of perinatal asphyxia. Results. Of the 267 neonates, 48 neonates had perinatal asphyxia, giving a prevalence of 18%. Prolonged labor (AOR=5.19, 95% CI: 1.73-15.63, P=0.003), presence of meconium (AOR=4.17, 95% CI: 1.34-12.98, P=0.014), and preeclampsia (AOR=7.94, 95% CI: 2.22-28.37, P=0.001) were important determinant factors for birth asphyxia. The case fatality rate of perinatal asphyxia was 37.5%. Conclusion and Recommendations. Prevalence and mortality of asphyxia were high. Prolonged labor, presence of meconium, and preeclampsia were determinant factors for birth asphyxia. Early detection and intervention of high-risk mothers should be carried out by health care providers, and mothers should be monitored with partograph during labor.

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Section: Discussionsupporting

confidence: 78%

Prevalence and Associated Factors of Perinatal Asphyxia in Neonates Admitted to Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Cross-Sectional Study

Gebregziabher

Hadgu

Abebe

2020

International Journal of Pediatrics

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“…16,17,23,25,37,38 The in-hospital case fatality rate was 20.6% this is similar to a study reported by Idris et al in Kebbi, Nigeria. 28 In contrast, our findings were lower than that of Ilah et al 5 who documented a case fatality rate of 25% but higher than reported Ogunkunle et al 17 with a case fatality rate of 14.7%. Our tertiary facility receives referral of the most-sick newborns and complicated labour from several hospitals, unlike the site in the Ogunkunle et al study, hence the higher case-fatality rate in our cohort.…”

Section: Discussioncontrasting

confidence: 85%

“…Similar observations were reported from Makurdi north-central Nigeria. 15 The reason for this observation could be because the causes of the asphyxia might have been acute intrapartum or peripartum events rather than a protracted problem that could have been identified during ANC. Alternatively, this finding could be a reflection of the quality of ANC in our environment.…”

Section: Discussionmentioning

confidence: 99%

“…26 Even, higher prevalence compared to this study was reported from rural Nigeria. 27,28 It is conceivable that the prevalence could be much higher if neonates from rural areas are adequately represented in this data. The higher prevalence among the inborn babies could be because our hospital is a fee-paying facility where out of pocket payment by patients is the norm.…”

Section: Discussionmentioning

confidence: 99%

“…2 It is the leading cause of neonatal admissions in Nigeria, accounting for 12.5% to 25% of all newborn admissions. [15][16][17][18] Regional variation in prevalence exists and is higher in the north and rural areas, perhaps reflecting the skewed distribution of skilled birth attendants and health facility delivery practices. High frequency of home deliveries, inadequate antenatal care, inade-Availability of data and materials: All data generated or analyzed during this study are included in this published article.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, case fatality rate and risk factors for mortality among neonates admitted with perinatal asphyxia at a tertiary hospital in northern Nigeria

et al. 2022

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Documenting the burden and the risk factors for perinatal asphyxia-related mortality is key to its prevention. The goal was to document the factors associated with mortality in perinatal asphyxia in a tertiary health facility in Nigeria. Records of consecutive neonatal admissions (between January 2016 and January 2017) underwent a retrospective analysis. Data were analyzed using Stata statistical software version 16 (Statacorp® Texas, USA). 102 (12.1%) of 841 admitted neonates had perinatal asphyxia; the median age (inter quartile range [IQR]) was 6 (0-168) hours. The mean admission weight ±(SD) was 2.96kg±(0.66) kg. Among inborn neonates, the incidence was 9.7 per 1000 live births. In 49% (50/102) pregnancies the amniotic fluid was clear; in 42% (43/102) it was meconium-stained; and 9 staining was unreported. Case fatality rate was 20.6% (21 of 102). 77(75%) neonates had no HIE, while 24 (24.5%) did. When compared to neonates without HIE, those with HIE II had about 7000 times higher odds of mortality (aOR = 68132.19, P0.01, 95% CI 3 to 1.4X 109). The adjusted odds of mortality for neonate with meconium-stained liquor were about 1900 times higher compared to clear meconium (aOR =1895, P = 0.02, 95%CI = 2.7 to 13072). Neonates with higher mean admission lengths (49.4cm [range = 48.8 to 50]) had 88 times lower odds of death compared to shorter neonates (aOR of 0.12 (95% CI: 0.17 to 0.85; p = 0.03).

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Rate and determinants of low fifth minute Apgar score at the federal medical centre Yenagoa, Bayelsa State, Nigeria

Makinde

Awotundun

Osegi

2023

Int J Reprod Contracept Obstet Gynecol

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Background: About a quarter of neonatal deaths and about 10% of deaths of children under 5 years are due to intrapartum related events reflected as low fifth minute Apgar score. This study is to assess the rate of low fifth minute Apgar score and its determinants at the Federal Medical Centre Yenagoa, Bayelsa State, Nigeria. Methods: A cross-sectional study of births at the Federal Medical Centre Yenagoa between July 2020 and April 2021. Data was collected in real time from parturients’ case notes at delivery. Low fifth minute Apgar score was defined as Apgar score < 7 at the 5th minute of birth. Data was analysed using IBM SPSS Statistics version 23. Multivariate logistic regression was used to identify determinants of low fifth minute Apgar score. P Value was 0.05. Results: Rate of low fifth minute Apgar score was 16.6%. Unbooked status (OR - 2.29; CI-1.11 - 4.71; p value - 0.024), emergency caesarean section (OR - 10.44; CI - 1.10 - 99.26; p value - 0.041), urgent caesarean section (OR - 25.75; CI - 2.58 – 256.72; p value=0.006) and breech presentation (OR - 1.96; CI - 1.03 – 3.82; p value=0.049) significantly increased the odd of low fifth minute Apgar score. Conclusions: Unbooked status, emergency and urgent caesarean section, and breech presentation were the determinants of low fifth minute Apgar score in the population studied. This highlights the patient group and clinical scenario requiring a focus of intervention for prevention of morbidity and mortality from low fifth minute Apgar score.

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Perinatal asphyxia in term neonates seen in Federal Medical Centre, Birnin Kudu, Nigeria

Cited by 5 publications

References 1 publication

Prevalence and Associated Factors of Perinatal Asphyxia in Neonates Admitted to Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Cross-Sectional Study

Prevalence and Associated Factors of Perinatal Asphyxia in Neonates Admitted to Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Cross-Sectional Study

Prevalence, case fatality rate and risk factors for mortality among neonates admitted with perinatal asphyxia at a tertiary hospital in northern Nigeria

Rate and determinants of low fifth minute Apgar score at the federal medical centre Yenagoa, Bayelsa State, Nigeria

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