ปัจจัยเสี่ยงต่อภาวะขาดออกซิเจนของทารกแรกเกิดที่โรงพยาบาลนครปฐม

บทคัดย่อ

Objective : To determine risk factors for birth asphyxia

Methods : The 567 pregnancy women who had delivery between 1 October 2012 to 30 September 2013 were randomized by consecutive selection. Cases were 189 women who had delivery newborn with 1-minute APGAR score of 7 or less. Control were 389 women who delivery newborn with 1-minute APGAR score more than 7. The risk factors for birth asphyxia were determined.

Result: The most associated risk factors with birth asphyxia were prolonged second stage of labor (OR 4.81, 95%CI 1.07-21.65, p=0.041), maternal hypertension (OR 3.48, 95%CI 1.57-7.72, p = 0.002), delivered by medical trainee (OR 2.69, 95%CI 1.35-5.37, p=0.005), moderate to thick meconium stained amniotic fluid (OR 2.31, 95%CI 1.05-5.07, p = 0.038), refer for birth (OR 1.69, 95%CI 1.02-2.78, p = 0.041)

Conclusion: Most of risk factors associated with birth asphyxia could be protected. Early detection and appropriate care will decrease birth asphyxia.