Risk factors of birth asphyxia among newborns in public hospitals of Central Zone, Tigray, Ethiopia 2018

Tasew, Hagos; Zemicheal, Micheal; Weldesamuel, Girmay Teklay; Mariye, Teklewoini; Ayele, Ebud

doi:10.1186/s13104-018-3611-3

Cited by 62 publications

(108 citation statements)

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“…This finding is consistent with the study conducted in Nigeria, India, Pakistan and the central Tigray zone. [11][12][13][14] This may be due to the fact that prim-parous individuals are often unaware of the demands of pregnancy and often lack routine antenatal care. This may result in complications that lead to asphyxia.…”

Section: Discussionmentioning

confidence: 99%

“…This study is consistent with other previous studies conducted in India hospital, Pakistan in Karachi Tertiary Hospital, Phramongkutklao Hospital in Thailand, Nigeria Delta Tertiary Institute, Mulago Hospital in Uganda, Cameron Yaounde Tertiary Hospital, Gondar University Referral Hospital and Tigray Central Zone Public Hospitals in Ethiopia. 7,[11][12][13][14][15]17,19 The possible explanation could be that meconium-stained AF leads to peripartum inhalation of meconium-stained amniotic fluid, resulting in chemical pneumonitis including inflammation of the pulmonary tissue, mechanical narrowing of the airways and pulmonary air leakage, ending in hypoxia. 20 As for the presentation of neonates, those with nonvertex presentation show a significant association with neonatal birth asphyxia.…”

Section: Discussionmentioning

confidence: 99%

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<p>Risk Factors of Birth Asphyxia Among Neonates Born in Public Hospitals of Tigray, Northern Ethiopia</p>

Berhe

Kebedom

Gebregziabher

et al. 2020

PHMT

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Introduction: Birth asphyxia is defined by the World Health Organization as not initiating and maintaining default breathing at birth. Approximately 24% of neonatal deaths occurred annually worldwide due to birth asphyxia. About 3% of the 120 million neonates born each year acquire asphyxia in third world countries. Long-term survivors may experience cerebral palsy, delay in growth, vision, hearing and intellectual deficiency, epilepsy, difficulties with communication and behavior. Thus, this study aims to determine the risk factors of birth asphyxia among neonates who were delivered at public hospitals of Tigray, Ethiopia. Materials and Methods: Hospital-based unmatched case-control study design was implemented on 390 samples from January to February 2018. Data were collected by interviews using a structured questionnaire and checklist. The collected data were coded and entered using EpiData version 3.1 statistical software and transported to statistical package for social science (SPSS) version 20 software for analysis. Cross-tabulation and odds ratio with 95% confidence interval were computed. Bivariate logistic regression and multivariable logistic regression were done. Multicollinearity was checked. Goodness of fit was checked by the Hosmer-Lemeshow test. Results: A total of 260 controls and 130 cases were enrolled in the study. Multivariable logistic regression showed that Primi-parity [AOR 5.5 (CI: 2.5,12.3)], pre-eclamcia/pregnancy-induced hypertension [AOR12.4 (CI: 4.17, 37.15)], post-term pregnancy [AOR 2.73 (CI: 1.00, 7.55)] meconium-stained liquor [AOR 29.2 (CI: 12.0, 71.1)], cord entangled [AOR 5.67 (CI: 1.66,19.3)] and non-vertex presentation [AOR 5.49 (CI: 2.20,13.7)] were found to be risk factors for perinatal birth asphyxia. Conclusion and Recommendations: Intrapartum factors and neonatal factors in the index pregnancy have an association with perinatal birth asphyxia. The research finding suggests effective antenatal care follow-up and follow-up of labor progress using partograph after labor initiation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

<p>Risk Factors of Birth Asphyxia Among Neonates Born in Public Hospitals of Tigray, Northern Ethiopia</p>

Berhe

Kebedom

Gebregziabher

et al. 2020

PHMT

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“…Meconium-stained amniotic fluid was a noted associated factor for BA in several other studies. [19,26,31,32] However, skilled birth attendants need to know that routine suctioning of neonates is no longer recommended as evidence-based practice as it may increase the risk of BA and should be avoided. [5,13] Mothers' gravida was statistically significant (χ 2 , 10.442, p=0.005); mothers with ≥5 births had an increased risk of BA.…”

Section: Discussionmentioning

confidence: 99%

Birth asphyxia at a district hospital in Kigali, Rwanda

Uwingabire¹,

Gowan²

2019

Rwanda Journal of Medicine and Health Sciences

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_________________________________________________________ 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. ________________________________________________________________________

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“…Six studies were included in this category of metaanalysis [13][14][15][16][17][18]. Neonates born with low birth weight were 6.52 times (OR: 6.52, 95% CI: 4.40, 9.65) more likely to develop perinatal asphyxia as compared to those born with normal weight.…”

Section: Determinants Of Perinatal Asphyxia Relationship Between Low mentioning

confidence: 99%

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

2020

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Background: Despite different preventive strategies that have been implemented in different health institutions in the country, neonatal mortality and morbidity are still significantly increasing in Ethiopia. Perinatal asphyxia is the leading cause of neonatal morbidity and mortality worldwide. As a result, this systematic review and meta-analysis aimed to assess the prevalence and associated factors of perinatal asphyxia in Ethiopia. Methods: Online databases (PubMed, HINARI, EMBASE, Google Scholar and African Journals), other gray and online repository accessed studies were searched using different search engines. Newcastle-Ottawa Quality Assessment Scale (NOS) was used for critical appraisal of studies. The analysis was done using STATA 11 software. The Cochran Q test and I 2 test statistics were used to test the heterogeneity of studies. The funnel plot and Egger's test were used to detect publication bias of the studies. The pooled prevalence of perinatal asphyxia and the odds ratio (OR) with a 95% confidence interval was presented using forest plots. Result: Nine studies were included in this review, with a total of 12,249 live births in Ethiopia. The overall pooled prevalence of perinatal asphyxia in Ethiopia was 24.06% (95 95%CI: 18.11-30.01). Associated factors of perinatal asphyxia included prolonged labor (OR = 2.79, 95% CI: 1.98, 3.93), low birth weight (OR = 6.52, 95% CI: 4.40, 9.65), meconium-stained amniotic fluid (OR = 5.91, 95% CI: 3.95, 8.83) and instrumental delivery (OR = 4.04, 95% CI: 2.48, 6.60) were the determinant factors of perinatal asphyxia in Ethiopia. Conclusions: The overall pooled prevalence of perinatal asphyxia was remarkably high. Duration of labor, meconium-stained amniotic fluid, instrumental deliveries, and birth weight were the associated factors of perinatal asphyxia in Ethiopia. Therefore, efforts should be made to improve the quality of intrapartum care service to prevent prolonged labor and fetal complications and to identify and make a strict follow up of mothers with meconium-stained amniotic fluid. This finding is important to early recognition and management of its contributing factors, might modify hypoxic-ischemic encephalopathy and may improve the implementation of the standard guideline effectively and consistently.

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Risk factors of birth asphyxia among newborns in public hospitals of Central Zone, Tigray, Ethiopia 2018

Cited by 62 publications

References 14 publications

<p>Risk Factors of Birth Asphyxia Among Neonates Born in Public Hospitals of Tigray, Northern Ethiopia</p>

<p>Risk Factors of Birth Asphyxia Among Neonates Born in Public Hospitals of Tigray, Northern Ethiopia</p>

Birth asphyxia at a district hospital in Kigali, Rwanda

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

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