Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021

Background. Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to impaired blood-gas exchange and results in hypoxemia. Despite improvements in the diagnosis and management of perinatal asphyxia, it has become the leading cause of admission and neonatal mortality, espec...

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Autores principales:	Magarsa Lami Dabalo, Simachew Animen Bante, Getahun Belay Gela, Selamawit Lake Fanta, Lemesa Abdisa Sori, Wondu Feyisa Balcha, Yomilan Geneti Muse, Tigist Derebe Tesfahun
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/d54306ba8efa4e939603fd099d24b93f
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spelling	oai:doaj.org-article:d54306ba8efa4e939603fd099d24b93f2021-11-22T01:09:31ZPerinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 20211687-975910.1155/2021/3180431https://doaj.org/article/d54306ba8efa4e939603fd099d24b93f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/3180431https://doaj.org/toc/1687-9759Background. Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to impaired blood-gas exchange and results in hypoxemia. Despite improvements in the diagnosis and management of perinatal asphyxia, it has become the leading cause of admission and neonatal mortality, especially in developing countries. Objective. This study was aimed at assessing factors associated with perinatal asphyxia among live births in the public health facilities of Bahir Dar city, Northwest Ethiopia, 2021. Method. Health facility-based cross-sectional study was employed from April 1-30/2021 in the public health facilities of Bahir Dar city among 517 mother-newborn pairs. The data were collected by systematic random sampling technique, entered by using Epi data 3.1, and analyzed using SPSS 25.0 version. Bivariate and multivariable logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P value of less than 0.05 considered statistically significant. Frequency tables, figures, and descriptive summaries were used to describe the study variables. Result. In this study, 21.7% (95% CI: 18.2%–25.5%) of the newborns had perinatal asphyxia. Malpresentation (AOR=4.06, 95%CI=2.08-7.94), uterotonic drug administration (AOR=2.78, 95%CI=1.67-4.62), meconium-stained amniotic fluid (AOR=4.55, 95%CI=2.66, 7.80), night time delivery (AOR=1.91, 95%CI=1.17, 3.13), and preterm delivery (AOR=3.96, 95%CI=1.98, 7.89) were significantly associated with perinatal asphyxia. Conclusion and Recommendation. In the present study, the proportion of perinatal asphyxia was high. To mitigate this problem, there is a need to focus on early identification of the risk factors like fetal malpresentation, preterm labor/delivery, and managing them appropriately. Administering uterotonic drugs should be based on indication with close supervision.Magarsa Lami DabaloSimachew Animen BanteGetahun Belay GelaSelamawit Lake FantaLemesa Abdisa SoriWondu Feyisa BalchaYomilan Geneti MuseTigist Derebe TesfahunHindawi LimitedarticlePediatricsRJ1-570ENInternational Journal of Pediatrics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 Magarsa Lami Dabalo Simachew Animen Bante Getahun Belay Gela Selamawit Lake Fanta Lemesa Abdisa Sori Wondu Feyisa Balcha Yomilan Geneti Muse Tigist Derebe Tesfahun Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
description	Background. Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to impaired blood-gas exchange and results in hypoxemia. Despite improvements in the diagnosis and management of perinatal asphyxia, it has become the leading cause of admission and neonatal mortality, especially in developing countries. Objective. This study was aimed at assessing factors associated with perinatal asphyxia among live births in the public health facilities of Bahir Dar city, Northwest Ethiopia, 2021. Method. Health facility-based cross-sectional study was employed from April 1-30/2021 in the public health facilities of Bahir Dar city among 517 mother-newborn pairs. The data were collected by systematic random sampling technique, entered by using Epi data 3.1, and analyzed using SPSS 25.0 version. Bivariate and multivariable logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P value of less than 0.05 considered statistically significant. Frequency tables, figures, and descriptive summaries were used to describe the study variables. Result. In this study, 21.7% (95% CI: 18.2%–25.5%) of the newborns had perinatal asphyxia. Malpresentation (AOR=4.06, 95%CI=2.08-7.94), uterotonic drug administration (AOR=2.78, 95%CI=1.67-4.62), meconium-stained amniotic fluid (AOR=4.55, 95%CI=2.66, 7.80), night time delivery (AOR=1.91, 95%CI=1.17, 3.13), and preterm delivery (AOR=3.96, 95%CI=1.98, 7.89) were significantly associated with perinatal asphyxia. Conclusion and Recommendation. In the present study, the proportion of perinatal asphyxia was high. To mitigate this problem, there is a need to focus on early identification of the risk factors like fetal malpresentation, preterm labor/delivery, and managing them appropriately. Administering uterotonic drugs should be based on indication with close supervision.
format	article
author	Magarsa Lami Dabalo Simachew Animen Bante Getahun Belay Gela Selamawit Lake Fanta Lemesa Abdisa Sori Wondu Feyisa Balcha Yomilan Geneti Muse Tigist Derebe Tesfahun
author_facet	Magarsa Lami Dabalo Simachew Animen Bante Getahun Belay Gela Selamawit Lake Fanta Lemesa Abdisa Sori Wondu Feyisa Balcha Yomilan Geneti Muse Tigist Derebe Tesfahun
author_sort	Magarsa Lami Dabalo
title	Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
title_short	Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
title_full	Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
title_fullStr	Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
title_full_unstemmed	Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021
title_sort	perinatal asphyxia and its associated factors among live births in the public health facilities of bahir dar city, northwest ethiopia, 2021
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/d54306ba8efa4e939603fd099d24b93f
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Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021

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