SRINAGARIND MEDICAL JOURNAL

Volume 35, No. 03, Month MAY, Year 2020, Pages 278 - 286

Risk factors for birth asphyxia in newborns delivered at nongkhai hospital

Sunida Panna

Abstract Download PDF

Background and Objectives: Birth asphyxia is an important cause of perinatal death. The causes of birth asphyxia are mostly could be prevented or corrected in advance. This retrospective case-control study was undertaken to identify risk factors for birth asphyxia in Nongkhai hospital. Methods: The medical records and birth registration database of 873 women giving birth at Nongkhai hospital during January 2018 to June 2019 were reviewed. The study group comprised of 129 women who delivered newborns with an APGAR score at 1 minute equal to 7 or less, while the control group comprised of 258 women who delivered newborns with an APGAR score at 1 minute more than 7. The potential factors affecting the risk of birth asphyxia were determined using the t-test and Chi-square. Multiple logistic regression was used to analyze the variables that were independently associated with birth asphyxia. Results: Significant risk factors for birth asphyxia included fetal distress (OR=27.20, 95%CI=5.75-128.82), placenta previa (OR=13.49 , 95%CI=1.28-142.13), premature rupture of the membranes (OR=5.83, 95%CI=1.56-21.80), pregnancy induce hypertension (OR=4.49, 95%CI=1.55-12.98), and birth weight lower than 2,500 grams (OR=1.94, 95%CI=1.07-6.26), respectively. Conclusion: Risk factors of birth asphyxia could be prevented. The early diagnosis and proper management will decrease birth asphyxia during delivery.

Keywords

Birth asphyxia, Risk factor

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