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Associative Factors for Birth Asphyxia at Queen Elizabeth Central Hospital—Malawi

Associative Factors for Birth Asphyxia at Queen Elizabeth Central Hospital—Malawi

作     者:Edith Tewesa Ellen Chirwa Maureen Daisy Majamanda Alfred Maluwa Angela Chimwaza 

作者机构:Queen Elizabeth Central Hospital Blantyre Malawi University of Malawi—Kamuzu College of Nursing Malawi 

出 版 物:《Journal of Biosciences and Medicines》 (生物科学与医学(英文))

年 卷 期:2017年第5卷第5期

页      面:22-31页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Neonates Birth Asphyxia Risk Factors 

摘      要:Background: Birth asphyxia is one of the major causes of neonatal deaths worldwide. Queen Elizabeth Central Hospital (QECH) neonatal ward records indicate that 36.5% of neonates admitted in the ward from April to September 2012 had birth asphyxia. This study was conducted to explore associative factors for birth asphyxia at QECH. Methodology: The study design was descriptive cross sectional that employed quantitative methods of data collection and analysis. Data sources were case notes of neonates and their mothers.? Sample size was 87 neonates with birth asphyxia and 87 neonates admitted with conditions other than birth asphyxia as controls. Data were collected from November to December 2013. Statistical Package for Social Science (SPSS) version16.0 was used to analyze data. Results: Findings revealed that there were no maternal associative factors for birth asphyxia, however, foetal distress, prolonged first and second stage of labour were significant associative factors for birth asphyxia. Conclusion: Associative factors for birth asphyxia at QECH are Foetal distress, prolonged first and second stage of labour. These factors can be prevented if quality care is provided to women in labour through close monitoring of foetal heart, appropriate use of the partograph, prompt decision making and early interventions.

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