The Causes, Factors and Guidelines for Preventing Birth Asphyxia in Nakornping Hospital, Chiang Mai 2005-2007-ปัจจัย สาเหตุและแนวทางในการป้องกันภาวะขาดออกซิเจนในทารกแรกเกิดโรงพยาบาลนครพิงค์ จังหวัดเชียงใหม่ ปี 2548-2550

Abstract

       The objective  of this prospective study was to idenlify the causes of birth asphyxia inNakornpingHospital, Chiang Mai in 3 phases of planning, implementation, evaluation and continuous improvement.  A situation analysis of birth asphyxia was done by collecting birth asphyxia data during October 1, 2004 - September 30, 2005. Then the protocols were planned and implemented to solve the problems during October 1 2005- September 30 2007 for all pregnant women.  The prevalence of birth asphyxia in the fiscal year 1993 was 51.13 per 1,000 livebirths.  The major cause of birth asphyxia was delivery factor (prolonged labor and sedation).  Premature labor was the main cause of fetal factors.  The hypertensive disorder during pregnancy (HDP) and antepartum heamorrhage (APH) were the main causes of maternal factors.  Using partogram, fetal monitoring, avoiding using drug sedation during labor, effective training of health personel and develvoping effective referring system were the important factors to effectively reduce of birth asphyxia rate to 50.58 43.38 and 39.59 per 1,000 live births in the year 2005, 2006 and 2007 respectively.

Key words:  birth asphyxia, causes and factors, prevention of birth asphyxia