Prevalence of Birth Asphyxia and Associated Factors among Neonates Delivered in Dilchora Referral Hospital, in Dire Dawa, Eastern Ethiopia

Ibrahim, Neil Abdurashid; Seid, Ahmed Muhye; Abdulie, Selah

doi:10.4172/2090-7214.1000279

Cited by 52 publications

(81 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among the identified factors, prolonged labour was found significantly higher in the asphyxiated neonates. 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].…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 92%

“…This figure is very high when compared with prevalence of 0.24% in Canada, 0.85% in the Netherlands, 2.5% observed in Dire Dawa, Ethiopia, and 2.69 in Nepal but lower than the study in Nigeria which was 29.4% [10, 13–16]. In addition, male to female ratio was found to be 1.07:1 which is similar to study in India [17].…”

Section: Discussionsupporting

confidence: 60%

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

View full text Add to dashboard Cite

show abstract

“…Our study result shows that mode of delivery (in our case, instrumental delivery) determined the occurrence of neonatal birth asphyxia. This in agreement with a case control study done in India [25] and cross-section findings in Ethiopia [26] and Pakistan [27]. A research conducted in England revealed that infants born by instrumental delivery (forceps and vacuum delivery) for presumed fetal compromise had the poorest condition at birth [28].…”

Section: Discussionsupporting

confidence: 88%

Determinants of birth asphyxia among newborns in Amhara national regional state referral hospitals, Ethiopia

Meshesha

Azage

Worku

et al. 2019

Preprint

View full text Add to dashboard Cite

27Background: Globally, every year, 2.5 million infants die within their first month of life. 28Neonatal asphyxia is the leading specific cause of neonatal mortality in low-and middle-income 29 countries, including Ethiopia. Therefore, the aim of this study was to identify the determinants of 30 birth asphyxia among newborns admitted in Amhara region referral hospitals, Ethiopia. 31 Methods: Facility-based unmatched case-control study was employed among 193 cases and 193 32 controls of newborns. Newborns admitted to neonatal intensive care units with admission criteria 33 of birth asphyxia and without birth asphyxia were considered as cases (Apgar score<7) and 34 controls (Apgar score>=7) respectively. Data were collected using a structured questionnaire by 35 systematic random sampling technique with proportional allocation, and entered in to Epi-Info 36 version 7 and exported to SPSS version 20 for statistical analysis. Bivariate and multivariable 37 logistic regression models were fitted to identify determinants of birth asphyxia.38

show abstract

“…[24] In Ethiopia, the prevalence rate was 3.1%, but only three quarters (81.5%) of the records had complete documentation, so the final rate was reduced to 2.5%. [25] In contrast, another study in Pakistan had a higher prevalence (51.25%). [4] Risk factors associated with BA included mainly healthy term neonates from mothers who attended the recommended four ANC visits, had a normal length of labor and normal duration of ROM, a normal spontaneous vaginal delivery, and normal birth weight (2500-3999 g).…”

Section: Discussionmentioning

confidence: 91%

Birth asphyxia at a district hospital in Kigali, Rwanda

Uwingabire¹,

Gowan²

2019

Rwanda Journal of Medicine and Health Sciences

View full text Add to dashboard Cite

_________________________________________________________ AbstractBackground Prematurity, birth asphyxia (BA), and sepsis are the leading causes of neonatal mortality. The BA prevalence rate is 23% worldwide and affects up to 39% in Rwanda. Birth asphyxia is an insult with significant consequences to the neonate's brain and other vital organs due to decreased oxygen before, during or immediately after birth. Objective To assess the BA prevalence, associated factors, and outcomes at a district hospital in Kigali. Methods A retrospective, cross-sectional study of 340 neonates admitted to the NICU in 2016. ResultsBirth asphyxia was identified in 135 out of 340 newborns (39.7%). Associated factors included gravida, meconium-stained amniotic fluid, normal duration of labor, normal duration of ROM, vaginal delivery, Apgar score of ≤5 at 5 minutes, respiratory ventilation and cardiac massage and normal birth weight (2500-3999gr). Two-thirds were born via vaginal birth (66.5%), and nearly half (47.3%) had BA. One-third was born via cesarean (33.5%), and a quarter (24.6%) had BA. Other BA outcomes included prolonged hospitalization beyond the neonatal period at 75% compared to non asphyxiated babies (25%). The mean days of NICU stay was 7.6 (SD: 6.1) for BA while it was 5.3 (SD: 4.16) for non-asphyxiated babies; early seizures (52.6%) and high specific mortality (87%). DiscussionFindings revealed a 6% BA prevalence increase, and a BA-specific mortality rate 13 times higher than previously recorded. Trained healthcare professionals need to reverse this significant trend in both vaginal and cesarean births that likely has a profound effect on the neonate, family, and community.Rwanda J Med Health Sci 2019;2(2):96-104. ________________________________________________________________________

show abstract

Prevalence of Birth Asphyxia and Associated Factors among Neonates Delivered in Dilchora Referral Hospital, in Dire Dawa, Eastern Ethiopia

Cited by 52 publications

References 41 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 Amhara national regional state referral hospitals, Ethiopia

Birth asphyxia at a district hospital in Kigali, Rwanda

Contact Info

Product

Resources

About