%0 Journal Article
%T Determinants of Birth-Asphyxia among Newborns in Dessie Town Hospitals, North-Central Ethiopia, 2018
%A Getachew Hailu
%A Kassawmar Angaw
%A Yohannes Kibret
%J International Journal of Sexual Health | International Open Access Journal
%D 2019
%X Background: Despite having, many evidences that birth asphyxia has been a major problem in developing countries like Ethiopia, the determinants of birth asphyxia among newborns has not been systematically investigated particularly in the study setting. This study hence aimed to identify determinants of birth Asphyxia among newborns in Dessie Town Hospitals, North-central Ethiopia, 2018. Methods: This study followed a facility based unmatched Case control design among 380 (76 incident asphyxia cases and 304 non-asphyxia controls) randomly selected newborns from March 9 to April 15, 2018 at 5-Hospitals of Dessie Town, North-central Ethiopia. Ethical clearance was obtained from Institutional Review board of Bahir Dar University. A structured questionnaire was used to gather data on socio demographic and risk factors by trained Midwives. The data were entered and cleaned using Epi-info version 7 and analyzed with SPSS Version 22. In the analysis: proportions, frequencies, and averages were calculated for study variables. Variables with P-value ¡Ü 0.2 in the bivariable analysis were included in the multiple variable logistic regression. Finally, variables with P-value ¡Ü 0.05 were considered as potential determinants of birth Asphyxia. Results: About 76 asphyxia, (cases), and 296 non-asphyxia (controls) newborns were included in the study. Newborns from short statured mothers had 6.43-fold odds of developing birth asphyxia compared to those from non-short statured mothers [AOR=6.43, 95%CI: 2.392-17.291]. The odds of developing birth asphyxia were 4.67 times more likely among newborns whose mothers had below 23cm Mid-Upper Arm Circumference compared to those whose mothers had ¡Ý23cm MUAC [AOR=4.67,95%CI: 1.842-11.835]. Newborns delivered with assisted/Instrumental delivery had 3.5 times increased odds of developing birth asphyxia compared to those delivered with spontaneous delivery [AOR=3.5, 95%CI: 1.365-8.981]. Prolonged labor [AOR=5.102, 95%CI: 2.151-12.099] and any complication during labour [AOR=3.424, 95%CI: 1.351-8.678] were also determinants of birth asphyxia. Conclusion and Recommendation: This study identified that the major determinants for birth asphyxia were maternal (Height, Mid-Upper Arm Circumference) and intrapartum factors (Instrumental delivery, Prolonged Labour and Labour complications). However, the fetal factors werenot identified to be significant determinant of birth asphyxia. Further research is recommended on the determinants of prolonged labor and other complications. Keywords: Birth Asphyxia; newborns; Dessie Town Hospitals; Risk
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