Risk Factors Affecting to Perinatal Asphyxia in Faculty of Medicine Vajira Hospital

Main Article Content

Kannikar Booranavanich
Krit Cheawcharnprapan


Objective: To determine risk factors related to the mother, labor and newborn toward the occurrence rate of perinatal asphyxia in the Faculty of Medicine Vajira Hospital.

Study design: Case control study.

Methods: The sample group covered 450 subjects of life birth newborns divided into study group of 150 subjects (apgar score at 1 minute was 7) and control group of 300 subjects (apgar score at minute more than 7) (ratio 1:2).

Results: There were 5 risk factors associated with perinatal asphyxia including placenta previa[Odds Ratio(OR) 4.54, 95% CI 2.961-6.973], birth weight less than 2,500 grams (OR 3.20, 95% CI 2.156-5.227), fetal distress (OR 3.11, 95% CI 2.041-4.741), mother younger than 20 years old (OR 2.51, 95% CI 1.252-5.024) and gestational age less than 34 weeks (OR 2.07, 95% CI 1.758-4.612).

Conclusion: According to the study, there were 5 risk factors associated with perinatal asphyxia that difficult to changing or prevention. However, knowing the newborn at risk of perinatal asphyxia is useful to prepare an appropriate neonatal resuscitation.


Download data is not yet available.

Article Details

Original Articles


1. Ornella L. Birth Asphyxia - Summary of the previous meeting and protocol overview [Serial online]. Curoservic; 2007 [cited 2017 Jun 12]. Available from: http://www.curoservice.com/health_professionals/news/pdf/10-09-2007_birth_asphyxia02.pdf.

2. Haider BA, Bhutta ZA. Birth asphyxia in developing countries: current status and public health implications. Curr Probl Pediatr Adolesc Health Care 2006;36(5):178–88.

3. Pitsawong C, Panichkul P. Risk factors associated with birth asphyxia in Phramongkutklao Hospital.Thai J Obstet Gynaecol 2012;19(4):165–71.

4. World Health Organization. ICD-10 Version 2010 [Serial online]. Geneva: World Health Organization; 2010 [cited 2017 Jun 12]. Available from: http://www.who.int/classifications/icd/icdonlineversions/en.

5. Puripunyawanich M. Risk factors of birth asphyxia in Sena hospital, Ayuthaya province. J Health Res 2008;22(2):83-9.

6. Chaimay B. Risk of teenage pregnancy and birth asphyxia in Bangkeaw district, Phatthalung province. Journal of Health Science 2016; 25(4).

7. Pitsawong C, Panichkul P. Risk factors associated with birth asphyxia in Phramongkutklao hospital.RTA Med J 2011;64:109-19.

8. Saksangawong1 S. Rattanamongkolgul S. Risk factor and risk score for birth asphyxia in Kumpawapi hospital, Udonthani province.RTA Med J 2019;72(1):41-52.

9. Panichawattana C, Thamdee S, Khemkhang T. Risk factors associated with birth asphyxia in Uttaradit province. Region 8 Medical Journal 2000;8:53-66.

10. Suwannachat B. Risk factors for birth asphyxia in Kalasin. Srinagarind Med J 2004;19(4):233-40.

11. Sillapakitkosol U. Risk Factors Associated with Newborn Birth Asphyxia Observed at Panomsarakham Hospital, Chachoengsao Province. Journal of Health Systems Reserch 2008;3(6).

12. Boonamnuaykij B. Low Apgar Score Newborn Infants in Maternal and Child Hospital Yala. Thai Pediatr J 2002;9(1):7-13.