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Background: Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to
maternal events like hemorrhage, amniotic fluid embolism, and placental events. Despite
improvements in the diagnosis and management of perinatal asphyxia, it has become the leading
cause of admission and neonatal mortality, especially in developing countries.
Objective: To assess the prevalence and associated factors of birth asphyxia among live births in
Abebech Gobena in Addis Ababa Ethiopia, 2023.
Method: Hospital-based cross-sectional study was employed among 376 postnatal mother-
newborn pairs. Systematic sampling techniques were used in the hospital. The data was entered by
using Epi info 7.25 and analyzed using the SPSS version 26.0. Bivariate and multivariable logistic
regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence
interval of 95% and a P value of less than 0.05 was considered statistically significant. Frequency
tables, figures, and descriptive summaries are used to describe the study variables.
Results: As per the study, the total prevalence of birth asphyxia was found to be 20.5(95%CI:16.5-
24.5). In multivariable logistic regression analysis, neonates born to underlying medical
complication (AOR =7,95%CI (4.8-10), meconium stained (AOR=1.4,95%CI (1.2-2.8),
immediately skin to kin contact to breastfeeding (AOR = 0.031,95%CI (0.007-0.28) were all found
to be independent predictors of birth asphyxia.
Conclusion and Recommendation: On this study prevalence of birth asphyxia is high compared
to WHO recommendations and underlying medical complications with neonate, Meconium-
stained, and early breastfeeding were found to be the independent predictors of birth asphyxia. it
is crucial to closely monitor and address any medical complications that may arise during the
perinatal period. Prompt recognition and appropriate medical intervention, including respiratory
support, medication, or surgical treatment, are essential to mitigate these risks and ensure the
baby's well-being. |
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