دورية أكاديمية
Incidence, predictors and immediate neonatal outcomes of birth asphyxia in Nigeria.
| العنوان: | Incidence, predictors and immediate neonatal outcomes of birth asphyxia in Nigeria. |
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| المؤلفون: | Ikechebelu JI; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Eleje GU; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Onubogu CU; Department of Paediatrics, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ojiegbe NO; Department of Obstetrics and Gynaecology, Federal Medical Centre, Umuahia, Nigeria., Ekwochi U; Department of Paediatrics, ESUT Teaching Hospital, Enugu, Nigeria., Ezebialu IU; Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria., Ezenkwele EP; Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria., Nzeribe EA; Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Nigeria., Umeh UA; Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria., Obumneme-Anyim I; Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria., Nwokeji-Onwe LN; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Settecase E; Department of Mother & Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina., Ugwu IA; Department of Obstetrics and Gynaecology, ESUT Teaching Hospital, Enugu, Nigeria., Chianakwana O; Department of Medical Records, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ibekwe NT; Department of Medical Records, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ezeaku OI; Department of Medical Records, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria., Ekweagu GN; Department of Medical Records, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria., Onwe AB; Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Lavin T; UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland., Tukur J; Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria. |
| المصدر: | BJOG : an international journal of obstetrics and gynaecology [BJOG] 2024 Aug; Vol. 131 Suppl 3, pp. 88-100. Date of Electronic Publication: 2024 Apr 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 100935741 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-0528 (Electronic) Linking ISSN: 14700328 NLM ISO Abbreviation: BJOG Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Oxford [England] : Blackwell Science, [2000]- |
| مواضيع طبية MeSH: | Asphyxia Neonatorum*/epidemiology, Humans ; Female ; Nigeria/epidemiology ; Pregnancy ; Infant, Newborn ; Incidence ; Adult ; Risk Factors ; Young Adult ; Male ; Pregnancy Outcome/epidemiology |
| مستخلص: | Objective: To determine the incidence and sociodemographic and clinical risk factors associated with birth asphyxia and the immediate neonatal outcomes of birth asphyxia in Nigeria. Design: Secondary analysis of data from the Maternal and Perinatal Database for Quality, Equity and Dignity Programme. Setting: Fifty-four consenting referral-level hospitals (48 public and six private) across the six geopolitical zones of Nigeria. Population: Women (and their babies) who were admitted for delivery in the facilities between 1 September 2019 and 31 August 2020. Methods: Data were extracted and analysed on prevalence and sociodemographic and clinical factors associated with birth asphyxia and the immediate perinatal outcomes. Multilevel logistic regression modelling was used to ascertain the factors associated with birth asphyxia. Main Outcome Measures: Incidence, case fatality rate and factors associated with birth asphyxia. Results: Of the available data, 65 383 (91.1%) women and 67 602 (90.9%) babies had complete data and were included in the analysis. The incidence of birth asphyxia was 3.0% (2027/67 602) and the case fatality rate was 16.8% (339/2022). The risk factors for birth asphyxia were uterine rupture, pre-eclampsia/eclampsia, abruptio placentae/placenta praevia, birth trauma, fetal distress and congenital anomaly. The following factors were independently associated with a risk of birth asphyxia: maternal age, woman's education level, husband's occupation, parity, antenatal care, referral status, cadre of health professional present at the birth, sex of the newborn, birthweight and mode of birth. Common adverse neonatal outcomes included: admission to a special care baby unit (SCBU), 88.4%; early neonatal death, 14.2%; neonatal sepsis, 4.5%; and respiratory distress, 4.4%. Conclusions: The incidence of reported birth asphyxia in the participating facilities was low, with around one in six or seven babies with birth asphyxia dying. Factors associated with birth asphyxia included sociodemographic and clinical considerations, underscoring a need for a comprehensive approach focused on the empowerment of women and ensuring access to quality antenatal, intrapartum and postnatal care. (© 2024 John Wiley & Sons Ltd.) |
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| معلومات مُعتمدة: | 001 International WHO_ World Health Organization; Merck for Mothers; WHO/HRP |
| فهرسة مساهمة: | Keywords: birth asphyxia; case fatality; early neonatal death |
| تواريخ الأحداث: | Date Created: 20240401 Date Completed: 20240823 Latest Revision: 20240823 |
| رمز التحديث: | 20240823 |
| DOI: | 10.1111/1471-0528.17816 |
| PMID: | 38560768 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1471-0528 |
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| DOI: | 10.1111/1471-0528.17816 |