Risk factors influenced the neonatal mortality due to birth asphyxia

Abstract

Background : Birth asphyxia is a leading cause of mortality and morbidity in neonates. The study to identify risk factors influenced mortality in neonate could help doctors and medical team to aware of these risk factors. The causes could be prevented or corrected in advance.
Objective : To identify maternal, infant and infant’s condition or complication risk factors for birth asphyxia mortality in Hatyai hospital.
Methods : A retrospective descriptive study was done by reviewing medical records of neonates who were admitted due to birth asphyxia in Hatyai hospital between 1st August 2015 to 31th July 2021.
Results : In this study,there were 388 neonates who were diagnosed birth asphyxia and admitted in hospital. There were 42 neonates who died and neonatal mortality rate within 28 days was 12.5 percent. Significant risk factors for neonatal mortality included intraventricular hemorrhage grade 3 and 4 (OR 38.87,95% CI 4.75-317.92), duration for cardiac compression greater than 10 minutes (OR 14.49, 95%CI 3.67-57.24), persistent pulmonary hypertension in newborn (OR 13.74, 95%CI 4.33-43.59), overt diabetes mellitus (OR 10.56, 95% CI 1.68-66.38),Apgar score at 5 minutes 0-3 and 4-7 score (OR 6.28, 95% CI 1.41-27.96 and OR4.2, 95%CI 1.13-15.63) and neonatal airleak syndrome (OR4.77,95% CI 1.51-15.1), respectively.
Conclusions : There were many risk factors for neonatal mortality due to birth asphyxia. Awareness and proper management of these risk factors will reduce the neonatal mortality