Ann Clin Med Res | Volume 4, Issue 1 | Research Article | Open Access

Perinatal Asphyxia and Associated Factors among Neonates Admitted at Neonatal Intensive Care Unit of Dessie Comprehensive Specialized Hospital, North-East Ethiopia: A Retrospective Cross-Sectional Study

Getnet Wassie Reta1 , Ewunetie Mekashaw Bayked2*, Husien Nurahmed Toleha2 , Mastewal Arefaynie Temesgen3 and Assen Seid Mussa4

1Department of Medicine, School of Medicine, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, Ethiopia 2Department of Pharmacy, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, Ethiopia 3Department of Reproductive Health, School of Public Health, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, Ethiopia, 4Berhan Lehetsanat, Dessie, Ethiopia

*Correspondance to: Ewunetie Mekashaw Bayked 

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Abstract

Background: Perinatal asphyxia is a critical clinical condition that contributes significantly to infant morbidity and mortality. Each year, one-fourth of newborn deaths worldwide are linked to birth asphyxia, and Ethiopia is no exception. At the Dessie Comprehensive Specialized Hospital in northeast Ethiopia, the researchers investigated the prevalence of perinatal asphyxia and the risk factors associated with it in newborns. Methods: A cross-sectional study design with retrospective document review was conducted. The single population proportion formula was used to calculate sample size. The participants were selected using a systematic random sampling method. Data were collected using a checklist, entered into Epi-Info™ - 7, cleaned, and then analyzed using SPSS version 23. The relationship between the dependent and independent variables was determined using odds ratios with a p-value <0.05 and a 95% CI. Results: Out of 256 neonates, with a response rate of 97.34%, 51 (19.9%) had perinatal asphyxia. Twenty-eight (54.9%) were males; 84.3% were of normal birth weight; 72.5% were born naturally; and 94.1% were cephalic. Thirty (58.8%) had stage-I hypoxic-ischemic encephalopathy, 70.6% were discharged with improvement, and 10 (19.6%) died, giving a case fatality rate of 19.6%. Prolonged duration of labor (AOR: 18.75, 95% CI: 8.1-43.4) and delivery at a hospital (AOR: 2.55, 95% CI: 1.35-4.82) were significantly associated with perinatal asphyxia. Conclusion: Prolonged labor and place of delivery were the most important factors influencing the occurrence of perinatal asphyxia, indicating the importance of adequate prenatal, antenatal, intrapartum, and neonatal care services

Keywords:

Perinatal; Asphyxia; Factor; Neonates; Ethiopia

Citation:

Reta GW, Bayked EM, Toleha HN, Temesgen MA, Mussa AS. Perinatal Asphyxia and Associated Factors among Neonates Admitted at Neonatal Intensive Care Unit of Dessie Comprehensive Specialized Hospital, North-East Ethiopia: A Retrospective Cross-Sectional Study. Ann Clin Med Res. 2023; 4(1): 1068..

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