Risk Factors Associated with Newborn Birth Asphyxia Observed at Panomsarakham Hospital, Chachoengsao Province

อุไร ศิลปกิจโกศล; Urai Sillapakitkosol;
Date: 2551
Abstract
A case-control study was carried out in Panomsarakham Hospital, Chachoengsao Province from October 1, 2001 to September 30, 2006 to determine the risk factors associated with birth asphyxia. The study group comprised 107 women who delivered asphyxiated neonates (1-minute Apgar score ≤ 7); the control groups comprised 107 mothers who delivered non-asphyxiated neo- nates (1-minute Apgar score >7). The control group was selected by systematic sampling. The data were analyzed by univariate and multiple logistic regression analyses, which revealed the following significant risk factors prevalent for asphyxiated newborns: thick meconium-stained amniotic fluid (OR 8.82; 95% CI: 1.35-57.45), drug-induced labor (OR 8.63; 95% CI: 2.80-26.63), vacuum extraction (OR 4.66; 95% CI: 1.28-16.90), and dystocia (OR 4.43; 95% CI: 1.33-14.78). In recognizing that the most common risk factors in birth asphyxia are antepartum and intrapartum incidents, early recognition of these factors followed by prompt and appropriate management would reduce the incidence of birth asphyxia. Key words: risk factors, birth asphyxi
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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