确定出生窒息危险因素:埃塞俄比亚Gedeo区公共卫生机构新生儿病例对照研究

Getachew Mergia , Getnet Melaku
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引用次数: 0

摘要

出生窒息是一个全球性的健康问题,导致氧气供应不足,每年在全世界造成约90万人死亡。本研究旨在确定在公共卫生机构分娩的新生儿出生窒息的危险因素,降低新生儿死亡率。方法本研究采用基于机构的非匹配病例对照研究设计,共有354名新生儿。我们使用描述性统计和逻辑回归模型来彻底评估数据并找到与出生窒息相关的特征。数据采用95%置信区间的调整优势比给出,以确保对所涉及的风险变量有全面的了解。结果本组病例119例,对照组235例,产妇中位年龄27岁。导致新生儿窒息的因素包括分娩方式和羊水颜色,剖宫产(AOR: 4.706, 95% CI: 2.132 ~ 10.386)和羊水混浊(AOR: 4.991, 95% CI: 2.609 ~ 9.547)显著增加窒息的发生几率。结论剖宫产分娩方式和羊水颜色不清是导致新生儿窒息的重要因素。这些发现强调了监测和管理分娩方法和羊水状况的重要性,以减少出生窒息的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying birth asphyxia risk factors: Case-control study of new-borns delivered at public health institutions in Gedeo Zone, Ethiopia

Background

Birth asphyxia, a global health issue causing insufficient oxygen supply, causes around 900,000 annual deaths worldwide. This study aimed to identify risk factors for birth asphyxia in new-borns delivered at public health institutions, reducing neonatal mortality.

Methods

This study used an institution-based, unmatched case-control study design with a total of 354 new-borns. We used descriptive statistics and a logistic regression model to thoroughly evaluate the data and find characteristics linked with birth asphyxia. The data were given using adjusted odds ratios with 95 % confidence intervals to ensure a thorough understanding of the risk variables involved.

Result

The study included 119 cases and 235 controls, with a median maternal age of 27 years. Factors contributing to birth asphyxia included mode of delivery and amniotic fluid color, with caesarean section (AOR: 4.706, 95 % CI: 2.132–10.386) and unclear amniotic fluid (AOR: 4.991, 95 % CI: 2.609–9.547) significantly increasing the odds of asphyxia.

Conclusion

This study identified significant factors contributing to birth asphyxia, including Caesarean section mode of delivery and unclear amniotic fluid color. These findings highlight the importance of monitoring and managing delivery methods and amniotic fluid status to reduce the risk of birth asphyxia.
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来源期刊
Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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