A multicenter study of incidence, risk factors and outcomes of babies with birth asphyxia in Nepal
| العنوان: | A multicenter study of incidence, risk factors and outcomes of babies with birth asphyxia in Nepal |
|---|---|
| المؤلفون: | Avinash K Sunny, Jagannath Tiwari, Ashish Kc, Prajwal Paudel, Antti Kukka, Uwe Ewald, Zhou Hong, Sara K. Berkelhamer, Bishow Bandhu Bagale |
| المصدر: | BMC Pediatrics, Vol 21, Iss 1, Pp 1-8 (2021) BMC Pediatrics |
| بيانات النشر: | Uppsala universitet, Global hälsa - implementering och hållbarhet, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Birth weight, Logistic regression, Pediatrics, RJ1-570, Asphyxia, Nepal, Pregnancy, Risk Factors, Fetal distress, medicine, Humans, Risk factor, Neonatal mortality, Asphyxia Neonatorum, Vaginal delivery, Obstetrics, business.industry, Research, Incidence, Incidence (epidemiology), Birth asphyxia, Infant, Newborn, Infant, Pediatrik, Public Health, Global Health, Social Medicine and Epidemiology, medicine.disease, Newborn, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Child, Preschool, Pediatrics, Perinatology and Child Health, Gestation, Female, medicine.symptom, business |
| الوصف: | Background Perinatal events which result in compromised oxygen delivery to the fetus can lead to Birth Asphyxia (BA). While the incidence, risk factors and outcomes of BA have been characterized, less is known in low resource settings. Aim To determine the incidence of Birth Asphyxia (BA) in Nepal and to evaluate associated risk factors and outcomes of this condition. Methods A nested observational study was conducted in 12 hospitals of Nepal for a period of 14 months. Babies diagnosed as BA at ≥37 weeks of gestation were identified and demographics were reviewed. Data were analyzed using binary logistic regression followed by multiple logistic regression analysis. Results The incidence of BA in this study was 6 per 1000 term livebirths and was higher among women 35 years and above. Predictors for BA were instrumented vaginal delivery (aOR:4.4, 95% CI, 3.1–6.1), fetal distress in labour (aOR:1.9, 95% CI, 1.0–3.6), malposition (aOR:1.8, 95% CI, 1.0–3.0), birth weight less than 2500 g (aOR:2.0, 95% CI, 1.3–2.9), gestational age ≥ 42 weeks (aOR:2.0, 95% CI, 1.3–3.3) and male gender (aOR:1.6, 95% CI, 1.2–2.0). The risk of pre-discharge mortality was 43 times higher in babies with BA (aOR:42.6, 95% CI, 32.2–56.3). Conclusion The incidence of Birth asphyxia in Nepal higher than in more resourced setting. A range of obstetric and neonatal risk factors are associated with BA with an associated high risk of pre-discharge mortality. Interventions to improve management and decrease rates of BA could have marked impact on outcomes in low resource settings. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97e2e2e952b1bf895cf473e7c89051a2 http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-456499 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....97e2e2e952b1bf895cf473e7c89051a2 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |