October 19, 2020 Journal article Open Access

Wubet Alebachew Bayih1*, Getachew Yideg Yitbarek1, Yared Asmare Aynalem2, Biruk Beletew Abate3, Aragaw Tesfaw1, Metadel Yibeltal Ayalew4, Demeke Mesfin Belay1, Habtamu Shimelis Hailemeskel1 and Abebaw Yeshambel Alemu1

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{
  "DOI": "10.1186/s12884-020-03348-2", 
  "author": [
    {
      "family": "Wubet Alebachew Bayih1*, Getachew Yideg Yitbarek1, Yared Asmare Aynalem2, Biruk Beletew Abate3, Aragaw Tesfaw1, Metadel Yibeltal Ayalew4, Demeke Mesfin Belay1, Habtamu Shimelis Hailemeskel1 and Abebaw Yeshambel Alemu1"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2020, 
        10, 
        19
      ]
    ]
  }, 
  "abstract": "<p>Background: More than one third of the neonatal deaths at Neonatal Intensive Care Unit (NICU) in Debre Tabor<br>\nGeneral Hospital (DTGH) are attributable to birth asphyxia. Most of these neonates are referred from the maternity<br>\nward in the hospital. Concerns have also been raised regarding delayed intrapartum decisions for emergency<br>\nobstetrics action in the hospital. However, there has been no recent scientific evidence about the exact burden of<br>\nbirth asphyxia and its specific determinants among live births at maternity ward of DTGH. Moreover, the public<br>\nhealth importance of delivery time and professional mix of labor attendants haven&rsquo;t been addressed in the prior<br>\nstudies.<br>\nMethods: Hospital based cross sectional study was conducted on a sample of 582 mother newborn dyads at<br>\nmaternity ward. Every other mother newborn dyad was included from December 2019 to March 2020. Pre-tested<br>\nstructured questionnaire and checklist were used for data collection. The collected data were processed and<br>\nentered into Epidata version 4.2 and exported to Stata version 14. Binary logistic regressions were fitted and<br>\nstatistical significance was declared at p less than 0.05 with 95% CI.<br>\nResults: The prevalence of birth asphyxia was 28.35% [95% CI: 26.51, 35.24%]. From the final model, fetal malpresentation<br>\n(AOR = 6.96: 3.16, 15.30), premature rupture of fetal membranes (AOR = 6.30, 95% CI: 2.45, 16.22),<br>\nmeconium stained amniotic fluid (AOR = 7.15: 3.07, 16.66), vacuum delivery (AOR =6.21: 2.62, 14.73), night time<br>\ndelivery (AOR = 6.01: 2.82, 12.79) and labor attendance by medical interns alone (AOR = 3.32:1.13, 9.78) were<br>\npositively associated with birth asphyxia at 95% CI.<br>\nConclusions: The prevalence of birth asphyxia has remained a problem of public health importance in the study<br>\nsetting. Therefore, the existing efforts of emergency obstetric and newborn care should be strengthened to prevent<br>\nbirth asphyxia from the complications of fetal mal-presentation, premature rupture of fetal membranes, meconium<br>\nstained amniotic fluid and vacuum delivery. Moreover, night time deliveries and professional mixes of labor and/<br>\ndelivery care providers should be given more due emphasis.</p>", 
  "title": "Prevalence and associated factors of birth asphyxia among live births at Debre Tabor General Hospital, North Central Ethiopia", 
  "type": "article-journal", 
  "id": "16898"
}