Abstract

 
 
 
 Introduction: Globally birth asphyxia continues to present a major clinical problem. It is one of the common and leading causes of perinatal and neonatal mortality and morbidity especially in developing countries.
 Methods: A cross-sectional study was conducted among newborns in a tertiary level hospital, Ethiopia from February to July 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with the perinatal asphyxia among newborns.
 Results: Of the newborns, 32% had perinatal asphyxia and factors significantly associated were anaemia during pregnancy (adjusted OR = 2.99, 95% CI: 1.07 – 8.35), chronic hypertension (adjusted OR = 4.89, 95% CI: 1.16 – 20.72) and low birth weight newborns (adjusted OR = 3.31, 95% CI: 1.308 – 8.37).
 Conclusions: Maternal anaemia during pregnancy, chronic hypertension and low birth weight were significantly associated with perinatal asphyxia. Therefore, early screening and appropriate intervention during pregnancy and intra-partum might reduce perinatal asphyxia among newborns.
 
 
 
Highlights
Birth asphyxia continues to present a major clinical problem
Perinatal asphyxia is defined as an oxygen deprivation that occurs around the time of birth and may be caused by several perinatal events
668 live newborns were delivered, among whom 258 live births were selected for the study; 256 participants participated in the study making the response rate of 99.2%
Summary
Birth asphyxia continues to present a major clinical problem It is one of the common and leading causes of perinatal and neonatal mortality and morbidity especially in developing countries. 45% under-five children death occurs during the neonatal period. Perinatal asphyxia is defined as an oxygen deprivation that occurs around the time of birth and may be caused by several perinatal events. It is known that beside using a single indicator like that of APGAR (Appearance, Pulse, Grimace, Activity and Respiration) score delayed respiration is an indicator for neonatal asphyxia which leads to brain damage.[1,2] Globally birth asphyxia continues to present a major clinical problem.[3] And it is one of the common and leading causes of perinatal and neonatal mortality and morbidity especially in developing countries.[4]
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