Risk Factors of Birth Asphyxia among Newborns at Debre Markos Comprehensive Specialized Referral Hospital, Northwest Ethiopia: Unmatched Case-Control Study
Despite a global decline in under-five deaths, the neonatal mortality rate remains slow in developing countries and birth asphyxia remains the third cause of neonatal deaths. Globally, neonatal deaths accounts for 45% of under-five deaths, birth asphyxia causes 23-40% of neonatal deaths in Ethiopia....
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| Veröffentlicht in: | Ethiopian journal of health sciences 2022-05, Vol.32 (3), p.513-522 |
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| container_title | Ethiopian journal of health sciences |
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| creator | Alamneh, Yoseph Merkeb Negesse, Ayenew Aynalem, Yared Asmare Shiferaw, Wondimeneh Shibabaw Gedefew, Mihretie Tilahun, Melkamu Hune, Yidersal Abebaw, Abtie Biazin, Yalemgeta Akalu, Tadesse Yirga |
| description | Despite a global decline in under-five deaths, the neonatal mortality rate remains slow in developing countries and birth asphyxia remains the third cause of neonatal deaths. Globally, neonatal deaths accounts for 45% of under-five deaths, birth asphyxia causes 23-40% of neonatal deaths in Ethiopia. There is limited data on risk factors of asphyxia in Ethiopia, particularly in the study area. Therefore, this study aimed to identify the risk factors of birth asphyxia among newborns.
This research followed a hospital-based unmatched case-control study design at Debre Markos comprehensive specialized referral hospital, Northwest Ethiopia, among 372 newborns (124 cases and 248 controls). Data were collected by interviewing index mothers and chart review using a pre-tested questionnaire. Then it was entered in Epi-data version 3.1 and transferred to STATA version 14.0 for analysis. Bivariate and multiple variable logistic regression were carried out to the possible risk factors. Finally, statistical significance was declared using adjusted odds ratio with 95% CI and p-value 12, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, noncephalic presentation, comorbidity, birthweight12 hours, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, non-cephalic presentation comorbidity, fetal distress, birthweight |
| doi_str_mv | 10.4314/ejhs.v32i3.6 |
| format | Article |
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This research followed a hospital-based unmatched case-control study design at Debre Markos comprehensive specialized referral hospital, Northwest Ethiopia, among 372 newborns (124 cases and 248 controls). Data were collected by interviewing index mothers and chart review using a pre-tested questionnaire. Then it was entered in Epi-data version 3.1 and transferred to STATA version 14.0 for analysis. Bivariate and multiple variable logistic regression were carried out to the possible risk factors. Finally, statistical significance was declared using adjusted odds ratio with 95% CI and p-value <0.05.
Prolonged labor >12, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, noncephalic presentation, comorbidity, birthweight<2500grams were found to be significant factors of birth asphyxia.
In this study, Prolonged labor >12 hours, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, non-cephalic presentation comorbidity, fetal distress, birthweight<2500grams were found to be risk factors of birth asphyxia were risk factors of birth asphyxia. Therefore, to reduce neonatal mortality associated with birth asphyxia, attention should be given to holistic pregnancy, labor and delivery care, and post-natal care. Moreover, interventions aimed at reducing birth asphyxia should target the identified factors.</description><identifier>ISSN: 1029-1857</identifier><identifier>EISSN: 2413-7170</identifier><identifier>DOI: 10.4314/ejhs.v32i3.6</identifier><identifier>PMID: 35813672</identifier><language>eng</language><publisher>Ethiopia: Research and Publications Office of Jimma University</publisher><subject>Asphyxia - epidemiology ; Asphyxia - etiology ; Asphyxia Neonatorum - epidemiology ; Asphyxia Neonatorum - etiology ; Birth Weight ; Case-Control Studies ; Ethiopia - epidemiology ; Female ; Hospitals, Special ; Humans ; Infant ; Infant, Newborn ; Original ; Perinatal Death ; Pregnancy ; Referral and Consultation ; Risk Factors</subject><ispartof>Ethiopian journal of health sciences, 2022-05, Vol.32 (3), p.513-522</ispartof><rights>2022 Yoseph Merkeb Alamneh, et al.</rights><rights>2022 Yoseph Merkeb Alamneh, 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214735/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214735/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35813672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alamneh, Yoseph Merkeb</creatorcontrib><creatorcontrib>Negesse, Ayenew</creatorcontrib><creatorcontrib>Aynalem, Yared Asmare</creatorcontrib><creatorcontrib>Shiferaw, Wondimeneh Shibabaw</creatorcontrib><creatorcontrib>Gedefew, Mihretie</creatorcontrib><creatorcontrib>Tilahun, Melkamu</creatorcontrib><creatorcontrib>Hune, Yidersal</creatorcontrib><creatorcontrib>Abebaw, Abtie</creatorcontrib><creatorcontrib>Biazin, Yalemgeta</creatorcontrib><creatorcontrib>Akalu, Tadesse Yirga</creatorcontrib><title>Risk Factors of Birth Asphyxia among Newborns at Debre Markos Comprehensive Specialized Referral Hospital, Northwest Ethiopia: Unmatched Case-Control Study</title><title>Ethiopian journal of health sciences</title><addtitle>Ethiop J Health Sci</addtitle><description>Despite a global decline in under-five deaths, the neonatal mortality rate remains slow in developing countries and birth asphyxia remains the third cause of neonatal deaths. Globally, neonatal deaths accounts for 45% of under-five deaths, birth asphyxia causes 23-40% of neonatal deaths in Ethiopia. There is limited data on risk factors of asphyxia in Ethiopia, particularly in the study area. Therefore, this study aimed to identify the risk factors of birth asphyxia among newborns.
This research followed a hospital-based unmatched case-control study design at Debre Markos comprehensive specialized referral hospital, Northwest Ethiopia, among 372 newborns (124 cases and 248 controls). Data were collected by interviewing index mothers and chart review using a pre-tested questionnaire. Then it was entered in Epi-data version 3.1 and transferred to STATA version 14.0 for analysis. Bivariate and multiple variable logistic regression were carried out to the possible risk factors. Finally, statistical significance was declared using adjusted odds ratio with 95% CI and p-value <0.05.
Prolonged labor >12, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, noncephalic presentation, comorbidity, birthweight<2500grams were found to be significant factors of birth asphyxia.
In this study, Prolonged labor >12 hours, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, non-cephalic presentation comorbidity, fetal distress, birthweight<2500grams were found to be risk factors of birth asphyxia were risk factors of birth asphyxia. Therefore, to reduce neonatal mortality associated with birth asphyxia, attention should be given to holistic pregnancy, labor and delivery care, and post-natal care. Moreover, interventions aimed at reducing birth asphyxia should target the identified factors.</description><subject>Asphyxia - epidemiology</subject><subject>Asphyxia - etiology</subject><subject>Asphyxia Neonatorum - epidemiology</subject><subject>Asphyxia Neonatorum - etiology</subject><subject>Birth Weight</subject><subject>Case-Control Studies</subject><subject>Ethiopia - epidemiology</subject><subject>Female</subject><subject>Hospitals, Special</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Original</subject><subject>Perinatal Death</subject><subject>Pregnancy</subject><subject>Referral and Consultation</subject><subject>Risk Factors</subject><issn>1029-1857</issn><issn>2413-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc9O3DAQxi3UClaUW8_ID0C2cZzYCQckmvJPolSCcrbGzoQYkjiyzdLtq_CyZEtB7VxmpJnvN6P5CPnM0mXOWf4F77uwXPHM8qXYIossZzyRTKYfyIKlWZWwspA7ZC-E-3QTMhU53yY7vCgZFzJbkOdrGx7oKZjofKCupV-tjx09DlO3_mWBwuDGO3qFT9r5MVCI9Btqj_Q7-AcXaO2GyWOHY7ArpDcTGgu9_Y0NvcYWvYeenrsw2Qj9Ab1yM_oJQ6QnsbNusnBIb8cBoulmQQ0Bk9qN0bue3sTHZv2JfGyhD7j3N--S29OTn_V5cvnj7KI-vkxMVgiRlMJwLWWpjcAc2nIuNDMpoOZNg20mUt00FQqpxfweNksglxKRVxp4UWV8lxy9cqdHPWBjcL4BejV5O4BfKwdW_d8Zbafu3EpVGcslL2bAwSvAeBeCx_Zdy1K18UltfFJ_fFJiHt__d9_78Jsr_AVJ-ZRb</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Alamneh, Yoseph Merkeb</creator><creator>Negesse, Ayenew</creator><creator>Aynalem, Yared Asmare</creator><creator>Shiferaw, Wondimeneh Shibabaw</creator><creator>Gedefew, Mihretie</creator><creator>Tilahun, Melkamu</creator><creator>Hune, Yidersal</creator><creator>Abebaw, Abtie</creator><creator>Biazin, Yalemgeta</creator><creator>Akalu, Tadesse Yirga</creator><general>Research and Publications Office of Jimma University</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>202205</creationdate><title>Risk Factors of Birth Asphyxia among Newborns at Debre Markos Comprehensive Specialized Referral Hospital, Northwest Ethiopia: Unmatched Case-Control Study</title><author>Alamneh, Yoseph Merkeb ; Negesse, Ayenew ; Aynalem, Yared Asmare ; Shiferaw, Wondimeneh Shibabaw ; Gedefew, Mihretie ; Tilahun, Melkamu ; Hune, Yidersal ; Abebaw, Abtie ; Biazin, Yalemgeta ; Akalu, Tadesse Yirga</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2566-86c3b778bc6e4af88bcb1c0aeb3ddef260bdd9e67b64131566a477ee39ba35923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Asphyxia - epidemiology</topic><topic>Asphyxia - etiology</topic><topic>Asphyxia Neonatorum - epidemiology</topic><topic>Asphyxia Neonatorum - etiology</topic><topic>Birth Weight</topic><topic>Case-Control Studies</topic><topic>Ethiopia - epidemiology</topic><topic>Female</topic><topic>Hospitals, Special</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Original</topic><topic>Perinatal Death</topic><topic>Pregnancy</topic><topic>Referral and Consultation</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alamneh, Yoseph Merkeb</creatorcontrib><creatorcontrib>Negesse, Ayenew</creatorcontrib><creatorcontrib>Aynalem, Yared Asmare</creatorcontrib><creatorcontrib>Shiferaw, Wondimeneh Shibabaw</creatorcontrib><creatorcontrib>Gedefew, Mihretie</creatorcontrib><creatorcontrib>Tilahun, Melkamu</creatorcontrib><creatorcontrib>Hune, Yidersal</creatorcontrib><creatorcontrib>Abebaw, Abtie</creatorcontrib><creatorcontrib>Biazin, Yalemgeta</creatorcontrib><creatorcontrib>Akalu, Tadesse Yirga</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ethiopian journal of health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alamneh, Yoseph Merkeb</au><au>Negesse, Ayenew</au><au>Aynalem, Yared Asmare</au><au>Shiferaw, Wondimeneh Shibabaw</au><au>Gedefew, Mihretie</au><au>Tilahun, Melkamu</au><au>Hune, Yidersal</au><au>Abebaw, Abtie</au><au>Biazin, Yalemgeta</au><au>Akalu, Tadesse Yirga</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors of Birth Asphyxia among Newborns at Debre Markos Comprehensive Specialized Referral Hospital, Northwest Ethiopia: Unmatched Case-Control Study</atitle><jtitle>Ethiopian journal of health sciences</jtitle><addtitle>Ethiop J Health Sci</addtitle><date>2022-05</date><risdate>2022</risdate><volume>32</volume><issue>3</issue><spage>513</spage><epage>522</epage><pages>513-522</pages><issn>1029-1857</issn><eissn>2413-7170</eissn><abstract>Despite a global decline in under-five deaths, the neonatal mortality rate remains slow in developing countries and birth asphyxia remains the third cause of neonatal deaths. Globally, neonatal deaths accounts for 45% of under-five deaths, birth asphyxia causes 23-40% of neonatal deaths in Ethiopia. There is limited data on risk factors of asphyxia in Ethiopia, particularly in the study area. Therefore, this study aimed to identify the risk factors of birth asphyxia among newborns.
This research followed a hospital-based unmatched case-control study design at Debre Markos comprehensive specialized referral hospital, Northwest Ethiopia, among 372 newborns (124 cases and 248 controls). Data were collected by interviewing index mothers and chart review using a pre-tested questionnaire. Then it was entered in Epi-data version 3.1 and transferred to STATA version 14.0 for analysis. Bivariate and multiple variable logistic regression were carried out to the possible risk factors. Finally, statistical significance was declared using adjusted odds ratio with 95% CI and p-value <0.05.
Prolonged labor >12, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, noncephalic presentation, comorbidity, birthweight<2500grams were found to be significant factors of birth asphyxia.
In this study, Prolonged labor >12 hours, meconium-stained amniotic fluid, assisted vaginal delivery, gestational age < 37 weeks, non-cephalic presentation comorbidity, fetal distress, birthweight<2500grams were found to be risk factors of birth asphyxia were risk factors of birth asphyxia. Therefore, to reduce neonatal mortality associated with birth asphyxia, attention should be given to holistic pregnancy, labor and delivery care, and post-natal care. Moreover, interventions aimed at reducing birth asphyxia should target the identified factors.</abstract><cop>Ethiopia</cop><pub>Research and Publications Office of Jimma University</pub><pmid>35813672</pmid><doi>10.4314/ejhs.v32i3.6</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1029-1857 |
| ispartof | Ethiopian journal of health sciences, 2022-05, Vol.32 (3), p.513-522 |
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| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; African Journals Online (Open Access); PubMed Central |
| subjects | Asphyxia - epidemiology Asphyxia - etiology Asphyxia Neonatorum - epidemiology Asphyxia Neonatorum - etiology Birth Weight Case-Control Studies Ethiopia - epidemiology Female Hospitals, Special Humans Infant Infant, Newborn Original Perinatal Death Pregnancy Referral and Consultation Risk Factors |
| title | Risk Factors of Birth Asphyxia among Newborns at Debre Markos Comprehensive Specialized Referral Hospital, Northwest Ethiopia: Unmatched Case-Control Study |
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