Proportion and predictive factors of low apgar score at five minute among singleton term neonates delivered in Debre Tabor specialized hospital, northwest Ethiopia: A cross-sectional study

Zewude, Shimeles Biru; Ajebe, Tewodros Magegnet; Gessesse, Shumiye Shiferaw; Wassie, Toyiba Hiyaru

doi:10.1016/j.ijans.2021.100322

Cited by 7 publications

(13 citation statements)

References 32 publications

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“…This variation might contribute to the different findings between these studies. In the study conducted by Zewude et al ( 26 ) and Yeshaneh et al ( 27 ), the amniotic membrane was ruptured at term while it was in the preterm in our study, and this could contribute to the difference in the determinates for the low Apgar score results between these previous and our studies.…”

Section: Discussioncontrasting

confidence: 46%

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Abebe

Nima

Mariye

et al. 2022

Front. Reprod. Health

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BackgroundOne of the most critical functions of the fetal membranes is to remain intact until the onset of labor to maintain the protective intrauterine fluid environment. In most pregnancies, spontaneous rupture usually occurs near the end of the first stage of labor. Preterm premature membrane rupture (PROM) occurs when the fetal membrane ruptures before 37 weeks of pregnancy, and it contributes to adverse maternal, fetal, and neonatal outcomes. Therefore, this study aimed to determine the association of determinant factors with adverse perinatal outcomes.MethodsA prospective cohort study was conducted on pregnant women with preterm premature membrane rupture (n = 160) attending the teaching hospitals at Addis Ababa University. Socio-demographic and obstetric risk factors with adverse perinatal outcomes include the 5th minute Apgar score, neonatal intensive care unit (NICU) admission, early-onset neonatal sepsis (EONS), respiratory distress syndrome (RDS), perinatal mortality, Chorioamnionitis, and placental abruption were assessed. SPSS version 24, t-test, χ2 test, and logistic regression analysis were used. P-values <0.25 in the bivariate and p < 0.05 in the multiple logistic regression were considered statistically significant.ResultsThe preterm (PROM) rate was 2.2% with perinatal mortality rate of 206/1,000. Gestational age (GA) at delivery was the determinate for low Apgar score at the 5th minute (AOR: 7.23; 95% CI, 1.10, 47.6; p = 0.04). Unable to use steroid (AOR: 8.23; 95% CI, 1.83, 37.0; p = 0.000), GA at membrane rupture (AOR: 4.61; 95% CI, 1.98, 31.8; p = 0.000) and delivery (AOR: 4.32; 95% CI, 1.99, 30.9; p = 0.000) were determinates for NICU admission. EONS was significantly affected by GA at membrane rupture (AOR: 5.9; 95% CI, 1.01, 37.0; p = 0.04). Placental abruption was significantly affected by GA at delivery (AOR: 7.52; 95% CI, 1.15, 48.96; p = 0.04).ConclusionGA at membrane rupture and delivery was the most critical predictors of adverse perinatal outcomes. Local guidelines on the approach and preterm PROM outcome management need to be prepared.

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Section: Discussioncontrasting

confidence: 46%

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Abebe

Nima

Mariye

et al. 2022

Front. Reprod. Health

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“…This is consistent with previous research, which reports low APGAR scores and birth weight were significantly associated with increased risk of early neonatal deaths [ 37 , 41 – 43 ]. Furthermore, a study of predictive factors of low APGAR score at five minutes among singleton births in northwest Ethiopia has shown that low birth weight is significantly associated with increased low APGAR scores at five minutes [ 44 ]. The study in northwest Ethiopia indicates the effect of low birth weight on APGAR scores which in turn may increase the risk of early neonatal deaths [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a study of predictive factors of low APGAR score at five minutes among singleton births in northwest Ethiopia has shown that low birth weight is significantly associated with increased low APGAR scores at five minutes [ 44 ]. The study in northwest Ethiopia indicates the effect of low birth weight on APGAR scores which in turn may increase the risk of early neonatal deaths [ 44 ]. These findings underscore the need for improved neonatal care for newborns who have low APGAR scores and birth weight to reduce the risk of neonatal death.…”

Section: Discussionmentioning

confidence: 99%

The utility of delivery ward register data for determining the causes of perinatal mortality in one specialized and one general hospital in south Ethiopia

et al. 2022

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Background Globally, the burden of perinatal mortality is high. Reliable measures of perinatal mortality are necessary for planning and assessing prenatal, obstetric, and newborn care services. However, accurate record-keeping is often a major challenge in low resource settings. In this study we aimed to assess the utility of delivery ward register data, captured at birth by healthcare providers, to determine causes of perinatal mortality in one specialized and one general hospital in south Ethiopia. Methods Three years (2014–2016) of delivery register for 13,236 births were reviewed from July 12 to September 29, 2018, in two selected hospitals in south Ethiopia. Data were collected using a structured pretested data extraction form. Descriptive statistics assessed early neonatal mortality rate, stillbirth rate, perinatal mortality rate and causes of neonatal deaths. Factors associated with early neonatal deaths and stillbirths were examined using logistic regression. The adjusted odds ratios with a 95% confidence interval were reported to show the strength of the association. Result The perinatal mortality ratio declined from 96.6 to 75.5 per 1000 births during the three-year study period. Early neonatal mortality and stillbirth rates were 29.3 per 1000 live births and 55.2 per 1000 total births, respectively. The leading causes of neonatal death were prematurity 47.5%, and asphyxia 20.7%. The cause of death for 15.6% of newborns was not recorded in the delivery registers. Similarly, the cause of neonatal morbidity was not recorded in 1.5% of the delivery registers. Treatment given for 94.5% of neonates were blank in the delivery registers, so it is unknown if the neonates received treatment or not. Factors associated with increased early neonatal deaths were maternal deaths and complications, vaginal births, APGAR scores less than 7 at five minutes and low birth weight (2500 g). Maternal deaths and complications and vaginal births were associated with increased stillbirths. Conclusion Our findings show that an opportunity exists to identify perinatal death and newborn outcomes from the delivery ward registers, but some important neonatal outcomes were not recorded/missing. Efforts towards improving the medical record systems are needed. Furthermore, there is a need to improve maternal health during pregnancy and birth, especially neonatal care for those neonates who experienced low APGAR scores and birth weight to reduce the prevalence of perinatal deaths.

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“…From total of nine articles 3508 newborns delivered at public health facilities of Ethiopia were included. The study design used for the included study were 4 articles unmatched case control (17,18,24,26) ,4 cross sectional study design (22,23,25,27) and 1 article cohort study (21).Six studies used systematic random sampling technique(18, 21-25) ,while three use simple random sampling technique (17,26,27).The included studies was done six regions of Ethiopia 2 in each regions of Amhar (23,25), Sidama (24,26) and Southern nation nationality (17,22) and 1each region of Tigray(18), Oromia (27) and Addis Ababa (21).The sample size ranges from lowest 261 (25) study done in Gonder and Highest 662(18) in Lemlem Karl hospital Tigray region. Most 77.7% (7/9) of the studies published in the last 4 years and the rest 2 published since 2017 this suggesting recent increase interest of subject area in Ethiopia.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Sub group analysis using sample size revealed that there was high magnitude of low 5th minutes of Apgar score with sample size > 350 with 24.87% (95%CI, 14.685-35.067) and subgroup analysis using study design shows that unmatched case control was high 33.369% (95%CI, 33.322-22.416) and low using Cohort study design 12.8% (95%CI, 12.765-12.835) (Table 3). The pooled effects of ve studies (17,18,21,23,24) showed that newborns delivered from gestational hypertension mothers were 5.71times (AOR = 5.71, 95%CI: 0.89-10.53) more likely to have low 5th minute Apgar score as compared to no gestational hypertension. The pooled effects of seven studies (17,18,21,23,(25)(26)(27) revealed that newborn with birth weight < 2500 gram were 4.82 times (AOR:4.82,95%CI:3.72-5.91) more likely to have low 5th minute Apgar score as compared to newborn with birthweight > 2500 gram delivered at public health facilities in Ethiopia.…”

Section: Subgroup Analysismentioning

confidence: 99%

Determinants of Low Fifth Minute Apgar Score among Newborn Delivered at health facilities in Ethiopia,systematic review and meta-analysis

Anagaw,

Fenta,

Adal

et al. 2024

Preprint

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Introduction: Apgar score is the most consistently used measure of neonatal health and it provides an accepted and convenient method for reporting the status of newborn infants in the few minutes after birth. Apgar score at 5th minute are better predictor neonatal survival. There is no evidence on pooled magnitude and determinant factors associated with low 5th minute Apgar score among newborns delivered in Ethiopia.Objective This review aimed to estimate the pooled magnitude and associated factors with low 5th minute Apgar score among newborns delivered at health facilities of EthiopiaMethod Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist guideline was followed for this review and meta-analysis. Electronic data base (PubMed, EMBASE, Midline, Cochrane library, Web of science, Google scholar and Science direct) were used to retrieve studies. Data were extracted using Microsoft Excel and analyzed using STATA version 17. Publication bias was checked by funnel plot, Beggs and Egger’s regression test. Pooled analysis was conducted using a weighted inverse variance of random effect model. Subgroup and sensitivity analysis was done.Result Nine papers were included from the total of 1982 articles that were retrieved using various electronic databases in order to determine the aggregate magnitude of low five-minute APGAR scores. A total of 23% (95% CI 16–30) of newborns delivered at Ethiopian health facilities had a low 5-minute APGAR score. Factors associated with low Apgar score were Skin incision time > 3 minutes (AOR:4.76,95%CI:1.28–8.25),gestational hypertension (AOR = 5.71, 95%CI: 0.89–10.53), birth weight < 2500 gram (AOR:4.82,95%CI:3.72–5.91) ,induced/augmented labor (AOR:3.21, 95%CI:2.27–4.15),meconium-stained liquor (AOR: 5.36,95%CI: 3.45–7.27), Presentation of fetus non vertex (AOR:3.15,95% CI:1.31–5.01), no ANC follow up (AOR:11.46,95%CI: 3.94–18.97), cesarean section delivery(AOR:15.98,95%CI:14.76–17.22),APH/PPH (AOR:8.92,95%CI:7.87–9.98),and Prolonged labor duration > 24hours (AOR:13.92,95%CI:10.95-16).Conclusion This review revealed that approximately 3 in 10 newborns delivered at health facilities of Ethiopia had low 5th minute Apgar score. Therefore, Comprehensive intervention including enhancing ANC follow up, early identification danger sign and complication of pregnancy and nutritional coursing were recommended for healthcare workers and concerned stakeholders working on maternal, newborn, and child healthcare.

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Proportion and predictive factors of low apgar score at five minute among singleton term neonates delivered in Debre Tabor specialized hospital, northwest Ethiopia: A cross-sectional study

Cited by 7 publications

References 32 publications

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

The utility of delivery ward register data for determining the causes of perinatal mortality in one specialized and one general hospital in south Ethiopia

Determinants of Low Fifth Minute Apgar Score among Newborn Delivered at health facilities in Ethiopia,systematic review and meta-analysis

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