“Risk factors of birth asphyxia”
Open Access
- 20 December 2014
- journal article
- research article
- Published by Springer Science and Business Media LLC in Italian Journal of Pediatrics
- Vol. 40 (1), 94
- https://doi.org/10.1186/s13052-014-0094-2
Abstract
Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Our goal was to evaluate antepartum, intrapartum, and fetal risk factors of birth asphyxia. It was a Retrospective Case control study, conducted at Neonatal Intensive Care Unit of pediatric ward (I, II, III) and in Gynecology wards (I, II, III) of Civil Hospital Karachi, Dow University of Health Sciences. Study was conducted from January 2011-November 2012. Neonates diagnosed with birth asphyxia were considered as “cases” while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as “control”. Demographics of both the mother and neonate were noted and Questions regarding possible risk factors were asked from mother. Ethical issues were confirmed from Institutional review board of Civil Hospital Karachi, Dow University of Health Sciences. All data was entered and analyzed through SPSS 19. Out of total 240 neonates, 123 were “cases” and 117 were “control”. Mean maternal age in “case” group was 24.22 ± 3.38 while maternal age of control group was 24.30 ± 4.04. Significant antepartum risk factors were maternal age of 20–25 (OR 0.30 CI 95% 0.07-1.21), booking status (OR 0.20 CI 95% 0.11-0.37), pre-eclampsia (OR 0.94 CI 95% 0.90-0.98) and primigravidity (OR 2.64 CI 95% 1.56-4.46). Significant Intrapartum risk factors were breech presentation (OR 2.96 CI 95% 1.25-7.02), home delivery (OR 16.16 CI 95% 3.74-69.75) and maternal fever (OR 10.01 CI95% 3.78-26.52). Significant Fetal risk factors were resuscitation of child (OR 23 CI 95% 31.27-1720.74), pre-term babies(OR 0.34 CI 95% 0.19-0.58), fetal distress (OR 0.01 CI 95% 0.00-0.11) and baby weight (OR 0.13 CI 95% 0.05-0.32). Measures should be taken to prevent neonatal mortality with great emphasis on skilled attendance at birth and appropriate care of preterm and low birth weight neonates.Keywords
This publication has 14 references indexed in Scilit:
- To compare the outcome (early) of neonates with birth asphyxia in-relation to place of delivery and age at time of admission.2012
- Fetal outcome of antepartum and intrapartum eclampsia in Aba, southeastern NigeriaTropical Doctor, 2012
- Perinatal risk factors for neonatal asphyxia in Vali-e-Asr hospital, Tehran-Iran2012
- Risk factors for perinatal mortality due to asphyxia among emergency obstetric referrals in a tertiary hospital.Indian Pediatrics, 2011
- Risk Factors for Neonatal Mortality Due to Birth Asphyxia in Southern Nepal: A Prospective, Community-Based Cohort StudyPublished by American Academy of Pediatrics (AAP) ,2008
- Risk factors of birth asphyxia.2008
- Reducing one million child deaths from birth asphyxia – a survey of health systems gaps and prioritiesHealth Research Policy and Systems, 2007
- Birth Asphyxia in Developing Countries: Current Status and Public Health ImplicationsCurrent Problems in Pediatric and Adolescent Health Care, 2006
- WHO estimates of the causes of death in childrenThe Lancet, 2005
- Antenatal and intrapartum risk factors for birth asphyxia among emergency obstetric referrals in Mulago Hospital, Kampala, UgandaEast African Medical Journal, 2004