<p>Determinants of Birth Asphyxia Among Newborns in Referral Hospitals of Amhara National Regional State, Ethiopia</p>

Abstract

Background: Globally, every year, 2.5 million infants die within their first month of life. Birth asphyxia is one of the leading causes in all low-and middle-income countries and the leading single cause of neonatal mortality in Ethiopia. Therefore, the aim of this study was to identify the determinants of birth asphyxia among newborns admitted to neonatal intensive care units (NICU) in Amhara region referral hospitals, Ethiopia. Methods: Facility-based unmatched case-control study was employed from March 1 to April 30, 2018. Cases were newborn babies admitted to neonatal intensive care units with an admission criteria of birth asphyxia with APGAR score of <7 at five min of birth and controls were newborn babies admitted to NICU with an admission criteria of other complications (such as jaundice, congenital anomalies, sepsis, hemorrhagic diseases) with APGAR score of ≥7 at five min of birth. Using SPSS version 20, bivariate logistic regression model was fitted to check the relation of each independent variable to the outcome variable. Variables with p<0.2 in bivariate analysis were transferred to multivariable logistic regression model for final analysis. Variables with an adjusted odds ratio (AOR) of 95%CI and p<0.05 were reported as determinants of birth asphyxia. Results: Data were collected from 193 cases and 193 controls with a response rate of 100%.

Determinants of birth asphyxia among newborns in Debre Berhan referral hospital, Debre Berhan, Ethiopia: a case-control study

“…Less than or equals to two ANC follow up by the mothers were 4.6 times higher odds of developing asphyxiated newborns than mothers who have more than four ANC follow up. This finding was inconsistent with the study conducted in Ethiopia [ 13 , 23 , 27 ]. This difference may be due to the number of health facilities included in the study and study period.…”

Risk Factors Associated With Birth Asphyxia in Term Newborns at a Tertiary Care Hospital of Multan, Pakistan

“…Prolonged labor was also observed as a significant risk factor for birth asphyxia (P<0.0001). This was similar to the studies conducted in the past in different parts of the world like Dhaka medical college hospital, Jimma Medical Center Ethiopia, Referral Hospitals of Amhara National Regional State Ethiopia, Nigeria, and from Stockholm and Gotland Sweden [17][18][19][20][21].…”

The determinants of 5th minute low Apgar score among newborns who delivered at public hospitals in Hawassa City, South Ethiopia

“…Anemia in pregnancy is more prevalent in the developing world, where under nutrition and infections are more frequent which complicates pregnancy outcome. However, a study done in Amhara region Ethiopia and Japan indicated that anemia during pregnancy is not a determinant factor for birth asphyxia/low Apgar score [17,28]. This difference could be due to high prevalence of a history of antepartum hemorrhage in this study and difference in study setting.…”

“…Therefore, by identifying the determinant factors of the low Apgar score the preventive action could be taken to reduce the number of neonatal deaths and morbidity associated with a low Apgar score. Published studies in Ethiopia that identified the determinant factors of the 5th minute Apgar score was limited [11,16,17]. Therefore, this study aimed to identify significant determinant factors of low Apgar scores among newborns in Hawassa city, South Ethiopia (Table 1).…”