Risk Factors Associated with Birth Asphyxia of Neonate at Faculty of Medicine, Vajira Hospital
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Creator 1. Adjima Soongsatitanon
2. Sasiwan Suthasmalee
Title Risk Factors Associated with Birth Asphyxia of Neonate at Faculty of Medicine, Vajira Hospital
Publisher Text and Journal Publication
Publication Year 2564
Journal Title Vajira Medical Journal
Journal Vol. 65
Journal No. 6
Page no. 433-440
Keyword birth asphyxia, risk factors
URL Website https://tci-thaijo.org/index.php/VMED
Website title Vajira Medical Journal (วชิรเวชสาร)
ISSN 0125-1252
Abstract Objective: To determine risk factors associated with birth asphyxia in pregnancies. Methods: A case control study was conducted by including 578 newborns delivered at Vajira Hospital between January 2018 and March 2020. Cases were 289 women who delivered the baby with Apgar score ? 7 at 1 minute, while the controls were 289 women who delivered the baby with Apgar score > 7 at 1 minute. The data was collected from medical records. Antepartum factors, intrapartum factors and newborn factors were analyzed with univariate analysis and binary logistic regression analysis. Results: Factors significantly associated with birth asphyxia included breech presentation (OR 3.18, 95% CI 1.10-9.22), vacuum extraction (OR 10.06, 95% CI 2.00-50.45), cesarean section (OR 2.53, 95% CI 1.59-4.03), preterm delivery (OR 6.62, 95% CI 3.26-13.46) and birthweight < 2500 grams (OR 3.49, 95% CI 1.54-7.90). Conclusion: The statistically significant risk factors associated with birth asphyxia were breech presentation, vacuum extraction, cesarean section, preterm delivery and birthweight < 2500 grams.
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