ASSOCIATED FACTORS WITH SEVERITY OF BIRTH ASPHYXIA AMONG NEWBORNS

Thị Thanh Bình Nguyễn1,, Bình Thắng Trần1, Thị Diệu Hương Vũ2
1 University of Medicine and Pharmacy, Hue University
2 Buon Ma Thuot University of Medicine and Pharmacy Hospital

Main Article Content

Abstract

Aim: Perinatal asphyxia is one of common causes of neonatal morbidity and mortality. Therefore, we conducted this study with specific aims to investigate several factors associated with severity of birth asphyxia. Methods: A cross-sectional descriptive study carried out with 120 asphyxiated neonates admitted at the Neonatal Intensive Care Unit in Hue Central Hospital, Hue City, from May 2020 to July 2022. Results: There were 120 asphyxiated neonates, 49,2% were preterm neonates, 50,8% were term neonates. Severe asphyxia was accounted for 33,3%, and moderate asphyxia was 66,7%.  Meconium stain amniotic fluid, abruptio placenta, abnormal fetal presentation, prolapsed cord, preeclampsia, mother with general anesthesia had a significant association with severe asphyxia in univariate analysis (p<0,05). Using multivariate analysis, we found that preeclampsia, mother with general anesthesia, abruptio placenta, abnormal fetal presentation remained independent risk factor for severe asphyxia (p < 0,05). Conclusion: Improvement of antenatal care is needed to identify and manage of conditions that could be threatening to the babies at birth, especially in high-risk preganancy such as preeclampsia, abruptio placenta. Furthermore, neonatal resusciation needs to prepare properly and to support imediately in the delivery room to all newborn, especially birth asphyxia to reduce severity as well as consequences of asphyxia.

Article Details

References

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