Medicina neonatal y pediátrica

Abstracto

Assessment of Proportion of Birth Asphyxia and its Associated Factorsamong Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia,2019/ 2020 .A Cross-Sectional Study

Yohannes Godie, Hedija Yenus, Fentahun Ayenew, Dires Birhanu, Yitayal Guadie

Background: Globally, birth asphyxia is a serious clinical problem that causes neonatal mortality and morbidity. Even if Ethiopia has made considerable achievements in the reduction of the under-five mortality rate, the neonatal mortality burden is not significantly decreased, which is due to birth asphyxia. Therefore, the aim of this study is to address this gap by assessing the prevalence of neonatal asphyxia and its associated factors among newborns in Addis Ababa public hospitals, Ethiopia. Inclusion criteria were Newborns that were delivered at those selected public hospitals in labor and delivery wards regardless of their outcome during the study period and exclusive criteria Mothers are seriously ill. Data was entered into Epi-data version 4.6 and exported to SPSS version 26 for statistical analysis. All variables with a p-value ≤ 0.2 were taken into the multivariable model. A statistically significant level was declared at 95% CI and the adjusted odds ratio at a p-value of <0.05.face-to-face interviews.

Results: The prevalence of birth asphyxia was 72(10.6%) with 95% CI (8.3-13.0). Accordingly, in this study birth asphyxia was significantly associated with the odds of Newborns whose mothers are not educated (AOR=8.09, 95% CI: 1.63-40.19), Prolonged labor (AOR=3.52, 95% CI:1.47-8.43), Ante-partum hemorrhage (AOR=5.36, 95%CI:1.69- 16.99), Preeclampsia (AOR= 5.09, 95% CI:2.09-12.47), Fetal distress (AOR=3.99, 95% CI:1.80-8.83) and Low birth weight (AOR=3.86, 95% CI:1.21-8.72).study,

Conclusion: The prevalence of birth asphyxia was 10.6%.The significant predictors of birth asphyxia were the educational level of the mother, complicated labor, and low birth weight.