Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-11-08 eCollection Date: 2021-01-01 DOI:10.1155/2021/3180431

Magarsa Lami Dabalo, Simachew Animen Bante, Getahun Belay Gela, Selamawit Lake Fanta, Lemesa Abdisa Sori, Wondu Feyisa Balcha, Yomilan Geneti Muse, Tigist Derebe Tesfahun

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引用次数: 0

Abstract

Background: Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to impaired blood-gas exchange and results in hypoxemia. Despite improvements in the diagnosis and management of perinatal asphyxia, it has become the leading cause of admission and neonatal mortality, especially in developing countries.

Objective: This study was aimed at assessing factors associated with perinatal asphyxia among live births in the public health facilities of Bahir Dar city, Northwest Ethiopia, 2021.

Method: Health facility-based cross-sectional study was employed from April 1-30/2021 in the public health facilities of Bahir Dar city among 517 mother-newborn pairs. The data were collected by systematic random sampling technique, entered by using Epi data 3.1, and analyzed using SPSS 25.0 version. Bivariate and multivariable logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P value of less than 0.05 considered statistically significant. Frequency tables, figures, and descriptive summaries were used to describe the study variables.

Result: In this study, 21.7% (95% CI: 18.2%-25.5%) of the newborns had perinatal asphyxia. Malpresentation (AOR = 4.06, 95%CI = 2.08-7.94), uterotonic drug administration (AOR = 2.78, 95%CI = 1.67-4.62), meconium-stained amniotic fluid (AOR = 4.55, 95%CI = 2.66, 7.80), night time delivery (AOR = 1.91, 95%CI = 1.17, 3.13), and preterm delivery (AOR = 3.96, 95%CI = 1.98, 7.89) were significantly associated with perinatal asphyxia. Conclusion and Recommendation. In the present study, the proportion of perinatal asphyxia was high. To mitigate this problem, there is a need to focus on early identification of the risk factors like fetal malpresentation, preterm labor/delivery, and managing them appropriately. Administering uterotonic drugs should be based on indication with close supervision.

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埃塞俄比亚西北部巴希尔达尔市公共卫生机构活产婴儿的围产期窒息及其相关因素，2021 年。

背景：出生窒息是新生儿的一个严重临床问题，其发生是由于血气交换受损，导致低氧血症。尽管围产期窒息的诊断和管理有所改善，但它已成为新生儿入院和死亡的主要原因，尤其是在发展中国家：本研究旨在评估 2021 年埃塞俄比亚西北部巴哈达尔市公共医疗机构活产婴儿围产期窒息的相关因素：方法：2021 年 4 月 1 日至 30 日，在巴希尔达尔市的公共医疗机构对 517 对母婴进行了基于医疗机构的横断面研究。数据通过系统随机抽样技术收集，使用 Epi data 3.1 输入，并使用 SPSS 25.0 版本进行分析。采用双变量和多变量逻辑回归分析来估算粗略和调整后的几率比例，置信区间为 95%，P 值小于 0.05 为具有统计学意义。研究使用了频率表、数字和描述性摘要来描述研究变量：在这项研究中，21.7%（95% CI：18.2%-25.5%）的新生儿患有围产期窒息。胎位不正（AOR = 4.06，95%CI = 2.08-7.94）、宫缩药（AOR = 2.78，95%CI = 1.67-4.62）、胎粪染羊水（AOR = 4.55，95%CI = 2.66，7.80）、夜间分娩（AOR = 1.91，95%CI = 1.17，3.13）和早产（AOR = 3.96，95%CI = 1.98，7.89）与围产期窒息显著相关。结论和建议。在本研究中，围产期窒息的比例较高。为缓解这一问题，需要重点关注早期识别风险因素，如胎位不正、早产/分娩，并对其进行适当处理。应在严密监护下根据指征使用子宫收缩药物。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.