Risk Factor and Risk score for Birth Asphyxia in Kumpawapi Hospital, Udonthani Province

Abstract

Abstract:

Introduction: Birth asphyxia is a public health problem in new born. It can made perinatal death and disabilities and most often it is caused can be prevented or corrected in advance. Objective: for identify risk factors and develop risk scoring forbirth asphyxia. Methods: The study group was comprised of 100 women who delivered newborns with an APGAR score at 1 minute equal 7 or less, while the control group comprised of 200 women who delivered newborns with an APGAR score at 1 minute more than 7. The data was collected from medical records. The anticipated risk factor were compared between the study and control group by using the t-test and Chi-square. A risk-scoring scheme was developed and evaluated using receiver operating characteristic (ROC) and likelihood ratios (LR). Result: Significantrisk factor for birth asphyxia werediabetes (OR = 6.495, 95%CI: 1.718-24.557), cephalopelvic disproportion (OR = 2.727, 95%CI: 0.985-7.552), meconium stain (OR = 15.403, 95%CI: 4.436-53.485), vacuum extraction (OR = 18.969, 95%CI: 4.615-77.972 ), gestational age < 37 weeks (OR = 4.006, 95%CI: 1.619-9.914), birth weight < 2,500 gram (OR = 2.736, 95%CI: 1.324-5.655) and fetal distress (OR = 16.714, 95%CI: 6.240-44.773 ). Conclusion: Risk scoring scheme was developed from these seven risk factor with the total score ranging from 0-14.5. A cut off point risk score was2.0used to classify pregnant women into low risk and high risk for asphyxia.