Prevalence and determinants of asphyxia neonatorum among live births at Debre Tabor General Hospital, North Central Ethiopia: a cross-sectional study

Abstract

Background: More than one third of the neonatal deaths at Neonatal Intensive Care Unit of Debre Tabor General Hos- pital (DTGH) are attributable to birth asphyxia. Most of these neonates are referred from maternity ward of the hospital. However, there is no recent evidence on the prevalence and specific determinants of birth asphyxia at DTGH. Besides, public health importance of factors like birth spacing weren’t addressed in the prior studies.
 Methods: A cross sectional study was conducted on a sample of 240 newborns at delivery ward. The collected data were cleaned, coded and entered into Epi -data version 4.2 and exported to Stata version 14. Binary logistic regression model was considered and statistical significance was declared at P< 0.05 using adjusted odds ratio.
 Results: The prevalence of asphyxia neonatorum was 6.7 % based on the fifth minute APGAR score. From multi-variable logistic regression analysis, antenatal obstetric complications (AOR = 2.63, 95% CI: 3.75, 14.29), fetal malpresentation (AOR = 3.17, 95% CI: 1.21, 15.20), premature rupture of fetal membranes (AOR = 6.56, 95% CI: 3.48, 18.12) and meconium stained amniotic fluid (AOR = 2.73, 95% CI: 1.76, 14.59) were significant predictors.
 Conclusion: The prevalence of fifth minute asphyxia neonatorum was relatively low. Fortunately, its predictors are modifi- able. Thus, we can mitigate the problem even with our limited resources such as enhancing the existing efforts of antenatal and intra-partum care, which could help early detection and management of any obstetric and neonatal health abnormality.”
 Keywords: Birth asphyxia; asphyxia neonatorum; prevalence; determinants; Ethiopia.

Magnitude of neonatal asphyxia and its predictors among newborns at public hospitals of Wolaita Zone in Southern Ethiopia, 2023

“…A newborn was considered to have neonatal asphyxia when its fifth minute APGAR score was less than seven [ 23 , 24 ].…”

Rate and determinants of low fifth minute Apgar score at the federal medical centre Yenagoa, Bayelsa State, Nigeria

“…29 While this rate is higher than the 1.9% reported from a study in Ghana, and some studies in Ethiopia that reported rates ranging from 6.7% to 13.8%,it is lower than 17.8%, 18.1%, 27.1%, and 32% reported from other studies also done in Ethiopia. 26,9,[18][19][20][21][22][23][24] Reported rates of low fifth minute Apgar score are much lower outside Africa. It was 0.46% in a study done in Brazil, 0.57% in a study in Peru and 1.2% in a study in the USA.…”

“…15,41 Several studies have documented independent fetal/neonatal and maternal factors associated with low fifth minute Apgar score. 9,[16][17][18][19][20][21][22][23][24][26][27][28][42][43][44][45][46] No previous study has been undertaken at the Federal Medical Centre Yenagoa, Bayelsa State, Nigeria, to assess the rate of low fifth minute Apgar score and its determinants, hence the need for this study to add to the data and knowledge from south-south Nigeria.…”

Prevenção E Manejo Do Rn Asfixiado: Revisão De Literatura

“…A literatura aponta que a asfixia perinatal apresenta múltiplos fatores de risco, incluindo trabalho de parto prolongado, ruptura prematura de membrana, local de parto, complicações obstétricas pré-natais, paridade, nascimentos múltiplos, idade gestacional (IG) menor que 37 semanas ou maior que 41 semanas, baixo peso ao nascer, apresentação fetal não cefálica e sofrimento fetal agudo (Sendeku et al, 2020;Bayih et al, 2021;Kune et al, 2021;Tegegnework et al, 2022;Getaneh et al, 2022).…”