SSESSMENT OF THE RATE AND ITS ASSOCIATED FACTORS IN DEVELOPMENT OF BIRTH ASPHYXIA AMONG NEONATES DELIVERED IN SPHMMC, ADDIS ABABA FROM APRIL 2016- MARCH 2017.

Abstract

ABSTRACT Background: Birth asphyxia is a significant contributor to the new born morbidity and mortality as well as long term neurological deficit. It is a significant case of Nero developmental handicaps in term babies remained a common problem in the developing world Objective: To assess the rate and its associated factors in development of birth asphyxia among neonates delivered in SPHMMC, Addis Ababa from April 2016 to March 2017. Methodology: A one year retrospective cross sectional study design was used ,using non probability Convenience sampling technique; frequency, proportion, mean and SD was used. After assess the normality of distribution of the data bivariate and multivariate analysis was used to determine the association between different factors and the outcome variable. Result: From 9738 neonates, 246 asphyxia a rate of approximately 25/1000 live births. The 92(37%) mothers of asphyxiated babies age is 21-25 years old (Mean 2.54, Std. Dev 1.09) and 136 (55.3%) education statuses were illiterate. Regarding the residence of mothers 135(56.1%) was living in rural and 107(43.5%) orthodox by religion. Concerning the Occupation of the mother 164(66.7%) and 40(16.3%) were house wife and privet employee respectively. In binary logistic regression analysis variables such as age of mother, educational level, duration of labor, mode of delivery, time of labor and gestational age of babies were found to be significantly associated with neonatal asphyxia. In multiple logistic regression analysis the following variables were found to have statistically significance association with asphyxia: age of mother, educational level, duration of labor, mode of delivery, and duration of labor showed association. Conclusion- the rate of asphyxia in St. Paul hospital Millennium Medical college is 25/1000 live birth Recommendation-further studies needed conduct to minimize the rate of birth asphyxia