Risk Factors Associated with Birth Asphyxia in Chaiyaphum Hospital

Abstract

The aimed of this Retrospective Analytical study were to investigate risk factors associated with birth asphyxia in a newborn at Chaiyaphum Hospital. The samples were pregnant women who had  delivery between 1 December 2014 to 30 June 2015 at Chaiyaphum Hospital and  gestational age greater than or equal to 28 weeks, infant lived birth, cases without fetal malformations, birth weight greater than or equal to 1,000 grams, completed medical and labor record, The samples had two group, including the studies were 40 cases of purpose sampling all pregnant women who delivered normal newborns with  birth asphyxia with 1- minute APGAR score less than or equal to 7. The controls were 80 cases of randomized simple random sampling pregnant women who delivered normal newborns without  birth asphyxia with 1- minute APGAR score more than 7. There were 1,934 deliveries during the study period.  The ratio of the control group was 1:2 with 40 study cases and 80 controls, a total of 120 cases. Collecting data by medical and labor records. The data were analyzed in terms of Chi-square and Fisher’s Exact test.

The Result revealed that there were significant risk factors associated with birth asphyxia including  maternal risk factors, gestational age less than 37 weeks, maternal hypertension, abruptio placenta,  maternal received oxytocin, fetal distress and birth weight less than 2,500 grams.