ปัจจัยเสี่ยงต่อการเกิดภาวะขาดออกซิเจนในทารกแรกเกิดในโรงพยาบาลสมเด็จพระพุทธเลิศหล้า

บทคัดย่อ

     Objective : To study factors which may caused birth asphyxia and to reduce birth asphyxia rate.

     Research method : Retrospective survey study

     Subjects : Gestational age 28 weeks or above of pregnant women who were admitted to labor room of Somdejpraputhalertla Hospital between October 1, 2003-September 30, 2006. These pregnant women delivered asphyxia newborns (Apgar score at 1 min ≤ 7).

     Results : Total of 5,218 pregnant women, 133 of them delivered asphyxia newborn. The prevalence of birth asphyxia rate is 33.7, 29.5, 14.8 : 1,000 live birth in 2004, 2005, 2006 year’s, respectively. The risk factors . which may caused birth asphyxia included general and maternal factors, most of them were 76.7% of 18-34 years old. 72.9% were 37-41 weeks of gestational age, 61.7% is nulliparity, 84.9% good ANC in Somdejpraputhalertla Hospital. Pre-delivery factors, most ofthem (62.4%) had no risk factors. In risk factor groups, 18% iron deficiency anemia, 5.3% previous cesarean section. Labor factors, most of them (77.4%) had risk factors,  55.6% medical induction of labor, 6.0% magnesium sulfate were used, and 6.0% analgesic (pethidine) were used. Newborn factors, most of them (68.8%) had 2,500 - 3,999 gram body weight, 39.0% had clear amniotic ‘ fluid and 15.8% had thick meconium stained amniotic fluid.

     Conclusion : Good antenatal care and early detection of risk factors by risk screening system, partograph and electronic fetal monitoring used, good resuscitation team can reduce birth asphyxia rate.