Risk Factors Associated with Birth Asphyxia - ปัจจัยเสี่ยงต่อการเกิดภาวะขาดออกซิเจนในทารกแรกเกิด

Abstract

                       The retrospective analytical study was conducted during a 2 years period (October 1, 2006 - September 30, 2008) at Nakhon Nayok hospital.  The objective was to find risk factors of birth asphyxia.  Data was collected from delivery medical records.  The study group included all 108 mothers who delivered infants Apgar score at 1 minute £ 7.  The control group was comprised of 362 mothers who delivered infants with Apgar score at 1 minute > 7.  The data was analyzed by Pearson chi-square, Fisherีs exact test at a significant level of 0.05. 

                        The results revealed that the incidence was 40.64 per 1,000 live births in the year 2006 and 23.4 per 1,000 in the year 2007.  Risk factors identified in the order of strength of associations were thick meconium, fetus anomaly, ante partum hemorrhage, abnormal fetal monitoring, PROM, urinary tract infection, preterm or post term, abnormal presentation, low birth weight, diabetes mellitus, hypertension, abnormal delivery, intrauterine growth retardation, twins, anemia, bad antenatal care.  Factors not related were maternal age, occupations, gravidarum, abortion and HIV positive.

Key word:       birth asphyxia