■尽管全球5岁以下儿童死亡人数有所下降,发展中国家的新生儿死亡率仍然缓慢,出生窒息仍然是新生儿死亡的第三大原因。全球范围内,新生儿死亡占五岁以下儿童死亡的45%,出生窒息导致埃塞俄比亚23-40%的新生儿死亡。关于埃塞俄比亚窒息危险因素的数据有限,特别是在研究领域。因此,本研究旨在探讨新生儿出生窒息的危险因素。
这项研究遵循了DebreMarkos综合专业转诊医院的一项基于医院的无与伦比的病例对照研究设计,埃塞俄比亚西北部,372例新生儿(124例,248例对照)。数据是通过访谈索引母亲和使用预测试问卷进行图表审查来收集的。然后在Epi-data版本3.1中输入,并转移到STATA版本14.0进行分析。对可能的危险因素进行双变量和多变量logistic回归。最后,使用95%CI和p值<0.05的校正比值比宣布有统计学意义.
■长期分娩>12,胎粪污染羊水,辅助阴道分娩,胎龄<37周,无头颅表现,合并症,出生体重<2500g是出生窒息的重要因素。
■在这项研究中,长期分娩>12小时,羊水胎粪污染,辅助阴道分娩,胎龄<37周,非头表现共病,胎儿窘迫,出生体重<2500g是出生窒息的危险因素。因此,减少新生儿死亡率与出生窒息,应该注意整体怀孕,分娩和分娩护理,和产后护理。此外,旨在减少出生窒息的干预措施应针对已确定的因素。
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.