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Prevalence and associated factors of perinatal asphyxia among newborns in Dilla University referral hospital Southern Ethiopia– 2017

机译:埃塞俄比亚南部迪拉大学转诊医院新生儿围产期窒息的患病率及相关因素– 2017

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摘要

>Background: Globally, perinatal asphyxia is a significant contributing factor for neonatal morbidity and mortality. Thus, this study was aimed to assess the prevalence and associated factors with perinatal asphyxia among newborns in Dilla University referral hospital.>Methods: A cross-sectional study was conducted among newborns in Dilla University referral hospital, Ethiopia from February to April 2017. Systematic random sampling techniques were used to enroll a total of 262 study subjects. Multivariate logistic regression analysis was used to identify factors associated with the perinatal asphyxia among newborns.>Result: Of the newborns, 32.8% had perinatal asphyxia, and factors associated significantly were anemia during pregnancy (adjusted OR=2.99, 95%CI: 1.07–8.35), chronic hypertension (adjusted OR=4.89, 95%CI: 1.16–20.72), meconium-stained amniotic fluid (adjusted OR=3.59, 95%CI: 1.74–7.42), and low birth weight newborns (adjusted OR=3.31, 95%CI: 1.308–8.37).>Conclusion: Maternal anemia during pregnancy, chronic hypertension, meconium stained amniotic fluid, and low birth weight were significantly associated with perinatal asphyxia. Therefore, early screening and appropriate intervention during pregnancy, and intrapartum might reduce perinatal asphyxia among newborns.
机译:>背景:在全球范围内,围产期窒息是导致新生儿发病率和死亡率的重要因素。因此,本研究旨在评估迪拉大学转诊医院新生儿的围产期窒息的患病率及其相关因素。>方法:在埃塞俄比亚迪拉大学转诊医院的新生儿中进行横断面研究2017年2月至2017年4月。系统性随机抽样技术共纳入262个研究对象。 >结果:在新生儿中,围产期窒息的发生率为32.8%,与妊娠期贫血显着相关的因素(校正后OR = 2.99, 95%CI:1.07–8.35),慢性高血压(校正OR = 4.89、95%CI:1.16-20.72),胎粪污染的羊水(校正OR = 3.59、95%CI:1.74-7.42)和低出生体重新生儿(调整后的OR = 3.31,95%CI:1.308–8.37)。>结论:孕期孕妇贫血,慢性高血压,胎粪染羊水和低出生体重与围产期窒息显着相关。因此,在怀孕期间及产前进行早期筛查和适当干预可能会减少新生儿围产期窒息。

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