Critical analysis of maternal risk factors and obstetric background and care of mothers of newborns requiring neonatal intensive care unit admission due to birth asphyxia - One year study in a Rural Medical College
Keywords:
birth asphyxia, antenatal careAbstract
Birth asphyxia depends on maternal and fetal risk factors. Early identification of high risk factors with improved antenatal and intrapartum care can decrease birth asphyxia rate.
It was retrospective cross sectional study, conducted at department of obstetrics and gynaecology, MMCH. Study was conducted from March, 2016 to February, 2017 with estimated sample size was 80. The study was done after approval by institutional ethics committee. Data were collected from respective mothers and analysed by SPSS19.
In our study, total number of mothers was 80. Mean maternal age of babies born with asphyxia was found to be 23.86 years. Majority of mothers were belong to lower socio-economic status (68.75%). Birth asphyxia was more common in unbooked mothers (52.50%), primipara (51.25%) and in term pregnancy (75%). It was found that birth asphyxia significantly more common in presence of maternal or fetal risk factors than absence of maternal and fetal risk factors. Maternal antepartum and intrapartum risk factors were anaemia (40%), augmentation by oxytocin (36.25%), prolonged second stage of labour (31.25%), prolonged rupture of membrane (26.25%), PIH or preeclampsia and eclampsia (26.25%), maternal fever (11.25%), history of IUFD (10%) etc.
Fetal risk factors were meconium stained liquor (25%), prematurity (23.75%), breech presentation (22.50%), twin pregnancy (15%), IUGR, cord prolapse.
Birth asphyxia rate was more common in caesarean section (53.75%) delivery, low birth weight and male babies.
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