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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    <subfield code="c">2020-10-19</subfield>
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    <subfield code="a">&lt;p&gt;Background: More than one third of the neonatal deaths at Neonatal Intensive Care Unit (NICU) in Debre Tabor&lt;br&gt;
General Hospital (DTGH) are attributable to birth asphyxia. Most of these neonates are referred from the maternity&lt;br&gt;
ward in the hospital. Concerns have also been raised regarding delayed intrapartum decisions for emergency&lt;br&gt;
obstetrics action in the hospital. However, there has been no recent scientific evidence about the exact burden of&lt;br&gt;
birth asphyxia and its specific determinants among live births at maternity ward of DTGH. Moreover, the public&lt;br&gt;
health importance of delivery time and professional mix of labor attendants haven&amp;rsquo;t been addressed in the prior&lt;br&gt;
studies.&lt;br&gt;
Methods: Hospital based cross sectional study was conducted on a sample of 582 mother newborn dyads at&lt;br&gt;
maternity ward. Every other mother newborn dyad was included from December 2019 to March 2020. Pre-tested&lt;br&gt;
structured questionnaire and checklist were used for data collection. The collected data were processed and&lt;br&gt;
entered into Epidata version 4.2 and exported to Stata version 14. Binary logistic regressions were fitted and&lt;br&gt;
statistical significance was declared at p less than 0.05 with 95% CI.&lt;br&gt;
Results: The prevalence of birth asphyxia was 28.35% [95% CI: 26.51, 35.24%]. From the final model, fetal malpresentation&lt;br&gt;
(AOR = 6.96: 3.16, 15.30), premature rupture of fetal membranes (AOR = 6.30, 95% CI: 2.45, 16.22),&lt;br&gt;
meconium stained amniotic fluid (AOR = 7.15: 3.07, 16.66), vacuum delivery (AOR =6.21: 2.62, 14.73), night time&lt;br&gt;
delivery (AOR = 6.01: 2.82, 12.79) and labor attendance by medical interns alone (AOR = 3.32:1.13, 9.78) were&lt;br&gt;
positively associated with birth asphyxia at 95% CI.&lt;br&gt;
Conclusions: The prevalence of birth asphyxia has remained a problem of public health importance in the study&lt;br&gt;
setting. Therefore, the existing efforts of emergency obstetric and newborn care should be strengthened to prevent&lt;br&gt;
birth asphyxia from the complications of fetal mal-presentation, premature rupture of fetal membranes, meconium&lt;br&gt;
stained amniotic fluid and vacuum delivery. Moreover, night time deliveries and professional mixes of labor and/&lt;br&gt;
delivery care providers should be given more due emphasis.&lt;/p&gt;</subfield>
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    <subfield code="u">1Debre Tabor University, Debra Tabor, Ethiopia. 2Debre Berhan University, Debre Berhan, Ethiopia. 3Woldia University, Weldiya, Ethiopia. 4Bahir Dar University, Bahir Dar, Ethiopia.</subfield>
    <subfield code="a">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</subfield>
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    <subfield code="a">Prevalence, Birth asphyxia, Ethiopia</subfield>
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    <subfield code="a">10.1186/s12884-020-03348-2</subfield>
    <subfield code="2">doi</subfield>
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    <subfield code="a">Prevalence and associated factors of birth asphyxia among live births at Debre Tabor General Hospital, North Central Ethiopia</subfield>
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