Factors affecting Birth Asphyxia in Suranaree University of Technology Hospital
Keywords:
Factors, birth asphyxia, APGAR score, University HospitalAbstract
Birth asphyxia is a serious medical and public health problem worldwide, including Thailand. This significantly affects newborn morbidity and mortality. The causes of birth asphyxia are maternal factors, fetal factors, and the childbirth process. Objective of this research to investigate maternal, fetal, health service, and environmental factors that influence the occurrence of birth asphyxia. This research is retrospective study at Suranaree University of Technology Hospital. Data were collected from the medical records of women who gave birth between 2020 and 2022. Data were collected on maternal, fetal, health services and environmental factors. The data was analyzed using descriptive statistics, including percentage, mean + standard deviation, and independent T-test.
The study’s finding total of 276 women gave birth, compare with and without birth asphyxia. The 18.1% and 10.1% of gestational ages were less than 37 weeks, respectively, with statistically significant difference (p = 0.039). Women who gave birth with birth asphyxia had 11.6 percent more hypertension than without birth asphyxia, statistically significant difference (p = 0.043). The fetal head presentation was found to be 88.2% and 89.9%, with statistically significant difference (p = 0.001). The blood loss at birth was 395.00 ± 299.30 and 321.52 ± 233.61 CC (p = 0.024). Vacuum extraction and cesarean section births accounted for 71.0% and 51.1%, respectively (p = 0.001). Summary that the difference of gestational age, hypertension, fetal presentation, blood loss at birth, and delivery method all have an impact on the occurrence of birth asphyxia.
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