Determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, Central Ethiopia: A case-control study
Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among...
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| description | Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of |
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Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of <7 at first and fifth minute of birth and controls were newborns with APGAR score of ≥ 7 at first and fifth minute of birth. All newborns with birth asphyxia during the study period were included in the study while; two comparable controls were selected consecutively after each birth asphyxia case. A pre-tested and structured questionnaire was used to collect maternal socio-demographic and antepartum characteristics. The pre-tested checklist was used to retrieve intrapartum and fetal related factors from both cases and controls. The collected data were entered using Epi-Info and analyzed by SPSS. Bi-variable logistic regression analysis was done to identify the association between each independent variable with the outcome variable. Adjusted odds ratio (AOR) with a 95% CI and a p-value of <0.05 was used to identify determinants of birth asphyxia. In this study, prolonged labor (AOR = 4.15, 95% CI: 1.55, 11.06), breech presentation (AOR = 5.13, 95% CI: 1.99, 13.21), caesarean section delivery (AOR = 3.67, 95% CI: 1.31, 10.23), vaginal assisted delivery (AOR = 5.69, 95% CI: 2.17, 14.91), not use partograph (AOR = 3.36, 95% CI: 1.45, 7.84), and low birth weight (AOR = 3.74, 95% CI:1.49, 9.38) had higher odds of birth asphyxia. Prolonged labor, breech presentation, caesarean and vaginal assisted delivery, fails to use partograph and low birth weights were the determinants of birth asphyxia. Thus, health care providers should follow the progress of labor with partograph to early identify prolonged labor, breech presentation and determine the mode of delivery that would lower the burden of birth asphyxia.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0248504</identifier><identifier>PMID: 33725001</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Apgar Score ; Asphyxia ; Asphyxia neonatorum ; Asphyxia Neonatorum - diagnosis ; Asphyxia Neonatorum - epidemiology ; Birth ; Birth weight ; Births ; Breech Presentation - epidemiology ; Case-Control Studies ; Cesarean Section - adverse effects ; Cesarean Section - statistics & numerical data ; Data collection ; Demographic aspects ; Diagnosis ; Disability ; Ethiopia - epidemiology ; Extraction, Obstetrical - adverse effects ; Extraction, Obstetrical - statistics & numerical data ; Female ; Health sciences ; Hospitals ; Hospitals, Public - statistics & numerical data ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Male ; Malnutrition ; Maternal Age ; Medicine ; Middle Aged ; Midwifery ; Neonates ; Newborn babies ; Obstetrics ; Physiological aspects ; Pregnancy ; Public health ; Questionnaires ; Respiration ; Risk Factors ; Suffocation ; Womens health ; Young Adult</subject><ispartof>PloS one, 2021-03, Vol.16 (3), p.e0248504-e0248504</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Kune et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Kune et al 2021 Kune et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-eb6896fb78b48c9ceb6052871510fe36534d33b4e63849762e9ae83f86422eb13</citedby><cites>FETCH-LOGICAL-c622t-eb6896fb78b48c9ceb6052871510fe36534d33b4e63849762e9ae83f86422eb13</cites><orcidid>0000-0002-3422-5836 ; 0000-0001-7366-2353</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7963050/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7963050/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33725001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mahapatra, Bidhubhusan</contributor><creatorcontrib>Kune, Guta</creatorcontrib><creatorcontrib>Oljira, Habtamu</creatorcontrib><creatorcontrib>Wakgari, Negash</creatorcontrib><creatorcontrib>Zerihun, Ebisa</creatorcontrib><creatorcontrib>Aboma, Mecha</creatorcontrib><title>Determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, Central Ethiopia: A case-control study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of <7 at first and fifth minute of birth and controls were newborns with APGAR score of ≥ 7 at first and fifth minute of birth. All newborns with birth asphyxia during the study period were included in the study while; two comparable controls were selected consecutively after each birth asphyxia case. A pre-tested and structured questionnaire was used to collect maternal socio-demographic and antepartum characteristics. The pre-tested checklist was used to retrieve intrapartum and fetal related factors from both cases and controls. The collected data were entered using Epi-Info and analyzed by SPSS. Bi-variable logistic regression analysis was done to identify the association between each independent variable with the outcome variable. Adjusted odds ratio (AOR) with a 95% CI and a p-value of <0.05 was used to identify determinants of birth asphyxia. In this study, prolonged labor (AOR = 4.15, 95% CI: 1.55, 11.06), breech presentation (AOR = 5.13, 95% CI: 1.99, 13.21), caesarean section delivery (AOR = 3.67, 95% CI: 1.31, 10.23), vaginal assisted delivery (AOR = 5.69, 95% CI: 2.17, 14.91), not use partograph (AOR = 3.36, 95% CI: 1.45, 7.84), and low birth weight (AOR = 3.74, 95% CI:1.49, 9.38) had higher odds of birth asphyxia. Prolonged labor, breech presentation, caesarean and vaginal assisted delivery, fails to use partograph and low birth weights were the determinants of birth asphyxia. Thus, health care providers should follow the progress of labor with partograph to early identify prolonged labor, breech presentation and determine the mode of delivery that would lower the burden of birth asphyxia.</description><subject>Adult</subject><subject>Apgar Score</subject><subject>Asphyxia</subject><subject>Asphyxia neonatorum</subject><subject>Asphyxia Neonatorum - diagnosis</subject><subject>Asphyxia Neonatorum - epidemiology</subject><subject>Birth</subject><subject>Birth weight</subject><subject>Births</subject><subject>Breech Presentation - epidemiology</subject><subject>Case-Control Studies</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Data collection</subject><subject>Demographic aspects</subject><subject>Diagnosis</subject><subject>Disability</subject><subject>Ethiopia - epidemiology</subject><subject>Extraction, Obstetrical - adverse effects</subject><subject>Extraction, Obstetrical - 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Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of <7 at first and fifth minute of birth and controls were newborns with APGAR score of ≥ 7 at first and fifth minute of birth. All newborns with birth asphyxia during the study period were included in the study while; two comparable controls were selected consecutively after each birth asphyxia case. A pre-tested and structured questionnaire was used to collect maternal socio-demographic and antepartum characteristics. The pre-tested checklist was used to retrieve intrapartum and fetal related factors from both cases and controls. The collected data were entered using Epi-Info and analyzed by SPSS. Bi-variable logistic regression analysis was done to identify the association between each independent variable with the outcome variable. Adjusted odds ratio (AOR) with a 95% CI and a p-value of <0.05 was used to identify determinants of birth asphyxia. In this study, prolonged labor (AOR = 4.15, 95% CI: 1.55, 11.06), breech presentation (AOR = 5.13, 95% CI: 1.99, 13.21), caesarean section delivery (AOR = 3.67, 95% CI: 1.31, 10.23), vaginal assisted delivery (AOR = 5.69, 95% CI: 2.17, 14.91), not use partograph (AOR = 3.36, 95% CI: 1.45, 7.84), and low birth weight (AOR = 3.74, 95% CI:1.49, 9.38) had higher odds of birth asphyxia. Prolonged labor, breech presentation, caesarean and vaginal assisted delivery, fails to use partograph and low birth weights were the determinants of birth asphyxia. Thus, health care providers should follow the progress of labor with partograph to early identify prolonged labor, breech presentation and determine the mode of delivery that would lower the burden of birth asphyxia.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33725001</pmid><doi>10.1371/journal.pone.0248504</doi><tpages>e0248504</tpages><orcidid>https://orcid.org/0000-0002-3422-5836</orcidid><orcidid>https://orcid.org/0000-0001-7366-2353</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2501837560 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Apgar Score Asphyxia Asphyxia neonatorum Asphyxia Neonatorum - diagnosis Asphyxia Neonatorum - epidemiology Birth Birth weight Births Breech Presentation - epidemiology Case-Control Studies Cesarean Section - adverse effects Cesarean Section - statistics & numerical data Data collection Demographic aspects Diagnosis Disability Ethiopia - epidemiology Extraction, Obstetrical - adverse effects Extraction, Obstetrical - statistics & numerical data Female Health sciences Hospitals Hospitals, Public - statistics & numerical data Humans Infant, Low Birth Weight Infant, Newborn Male Malnutrition Maternal Age Medicine Middle Aged Midwifery Neonates Newborn babies Obstetrics Physiological aspects Pregnancy Public health Questionnaires Respiration Risk Factors Suffocation Womens health Young Adult |
| title | Determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, Central Ethiopia: A case-control study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T11%3A37%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Determinants%20of%20birth%20asphyxia%20among%20newborns%20delivered%20in%20public%20hospitals%20of%20West%20Shoa%20Zone,%20Central%20Ethiopia:%20A%20case-control%20study&rft.jtitle=PloS%20one&rft.au=Kune,%20Guta&rft.date=2021-03-16&rft.volume=16&rft.issue=3&rft.spage=e0248504&rft.epage=e0248504&rft.pages=e0248504-e0248504&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0248504&rft_dat=%3Cgale_plos_%3EA655200162%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2501837560&rft_id=info:pmid/33725001&rft_galeid=A655200162&rft_doaj_id=oai_doaj_org_article_2ae813ff67534b92aea2cb3b3c781f65&rfr_iscdi=true |