Factors determining birth asphyxia among newborn babies in selected hospitals
AbstractBirth asphyxia is a global problem and one of the most common causes of neonatal death. An unmatched case control study was conducted to ! nd out factors determining birth asphyxia among new born babies. The population of the study was 937 newborn babies delivered in selected hospitals of Chitwan district. The non-probability consecutive sampling method was used in which a total of 123 births was asphyxiated newborn babies out of 937 deliveries and 123 non- asphyxiated babies were included as control group so the total sample was 246. Birth asphyxia was found to be present among 91.7% of respondents with the height below 150cm, 68.7% primiparity, 83.7% below 20years and 84.8% with agriculture occupation. There was signi! cant association of maternal factors like height below 150 cm, primiparity, not attending antenatal clinic visit, premature rupture of membrane, prolonged labour and instrumental delivery with birth asphyxia with highest odds ratio on problem during pregnancy This study concluded that factors determining birth asphyxia are mostly maternal factors like, primiparity, not attending antenatal clinic visit, premature rupture of membrane, prolonged 1st and 2nd stage of labour, instrumental delivery. So, early detection and management of high risk cases need to be identi! ed to reduce the incidence of birth asphyxia.Keywords: Birth asphyxia, Newborn babies, Maternal factors, Fetal factors.
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