Birth asphyxia and its associated factors among newborns at a tertiary hospital: evidence from Southern Ethiopia

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.17

Mulugeta Demisse, Rahel Tadesse, Kidist Kerebeza, Yonas Alemayehu, Dawit Hoyiso, Tomas Yeheyis

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引用次数: 0

Abstract

Background: Globally, 45% of under-five children death occurs during the neonatal period and about 25% of all neonatal deaths are caused by birth asphyxia. In Ethiopia, in 2015, it was the first cause of neonatal deaths followed by prematurity and sepsis. The study aims to assess prevalence of Birth asphyxia and associated factors. Methods: Institution-based cross-sectional study was conducted among neonates admitted to Neonatal intensive care unit of Hawassa University Specialized comprehensive hospital from December 1 to December 30, 2020. Systematic random sampling technique was employed to select samples. Logistic regression analysis using Statistical Package for Social sciences version 24was employed. Results: The prevalence of neonatal asphyxia in this study was17.9%. Prolonged labor [AOR (Adjusted odds ration) = 2.909; (95% CI (Confidence Interval): 1.184 – 7.151)], presence of meconium [AOR= 2.137; 95% CI 1.028 – 4.683)], premature rapture of membrane [AOR = 2.459; 95% CI: 1.021 – 6.076)] and complication during labor [AOR= 3.351; 95% CI: 2.142 – 5.871))], were factors associated with neonatal asphyxia. Conclusion and Recommendations: Nearly two in every ten newborns faced perinatal asphyxia in the study area. Early identification of high-risk women, intervening on delay in referral, and early and vigorous management of abnormal labor and complicated labor is essential to halt the problem. Keywords: Birth asphyxia; neonates; neonatal intensive care unit.

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三级医院新生儿的出生窒息及其相关因素:来自埃塞俄比亚南部的证据

背景:在全球范围内，45%的五岁以下儿童死亡发生在新生儿期，约25%的新生儿死亡是由出生窒息造成的。2015年，在埃塞俄比亚，它是新生儿死亡的第一大原因，其次是早产和败血症。本研究旨在评估新生儿窒息的患病率及相关因素。方法:对2020年12月1日至12月30日入住阿瓦萨大学专科综合医院新生儿重症监护病房的新生儿进行机构横断面研究。采用系统随机抽样技术选取样本。使用Statistical Package for Social sciences version 24进行Logistic回归分析。结果:本研究中新生儿窒息的发生率为17.9%。延长产程[AOR(调整优势比)= 2.909;(95% CI(置信区间):1.184 - 7.151)]，胎粪的存在[AOR= 2.137;95% CI 1.028 ~ 4.683)]，膜过早破裂[AOR = 2.459;95% CI: 1.021 ~ 6.076)]和分娩并发症[AOR= 3.351;95% CI: 2.142 - 5.871))]，均为新生儿窒息相关因素。结论和建议:在研究地区，每10个新生儿中就有2个面临围产期窒息。早期识别高危妇女，干预延迟转诊，早期和积极管理异常分娩和复杂分娩是制止问题的关键。关键词:新生儿窒息;新生儿;新生儿重症监护病房。

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.