Article Sidebar

PDF (Tiếng Việt)
Published: 2024-07-24
Abstract Views: 83
Views PDF (Tiếng Việt): 69
DOI: https://doi.org/10.52163/yhc.v65iCD7.1308
Issue
Vol. 65 No. CĐ 7
Section
Articles
How to Cite
Bình, N. T. T. ., Linh, M. D. ., & Trinh, N. T. T. . (2024). 15. RESEARCH ON CLINICAL, PARA-CLINICAL CHARACTERISTICS AND RISK FACTORS OF BIRTH ASPHYXIA. Vietnam Journal of Community Medicine, 65(CĐ 7). https://doi.org/10.52163/yhc.v65iCD7.1308

15. RESEARCH ON CLINICAL, PARA-CLINICAL CHARACTERISTICS AND RISK FACTORS OF BIRTH ASPHYXIA

Nguyen Thi Thanh Binh1, Mai Dieu Linh1, Nguyen Thi Thao Trinh2
1 University of Medicine and Pharmacy, Hue University
2 Hue Central Hospital

Main Article Content

Abstract

Objective: To describe the clinical, paraclinical characteristics and to identify risk factors of birth asphyxia.


Subject and methods: The case-control study included 61 asphyxiated newborns in the case group and 122 non-asphyxiated newborns in the control group, treated at the Department of Intensive Care - Neonatal Intensive Care, Pediatric Center, and Obstetrics Department of Hue Central Hospital. The study was conducted from February 2022 to July 2023.


Results: The most common clinical symptoms are hypothermia (21.3%), coma (6.6%), lethargy/lack of flexibility (42.6%), and tachycardia (16.4%). The rates of increased SGOT, increased SGPT and increased blood creatinine were 27.9%, 11.5% and 4.9%, respectively. Multivariate analysis showed that maternal general anesthesia [OR = 16,1 (95% CI: 1,7-149,8)], placental abruption and/or placenta previa [OR = 14,8 (95% CI: 1,5-151,9)], prolonged rupture of membranes [OR = 14,0 (95% CI: 3,4-57,2)], fetal distress [OR = 3,3 (95% CI: 1,3-8,5)] and intrauterine growth retardation [OR = 2,7 (95% CI: 1,1-6,3)] are independent factors increasing the risk of neonatal asphyxia (p < 0.05).


Conclusion: Mothers should be screened for risk factors for birth asphyxia to reduce the rate of newborn asphyxia.

Article Details

Keywords

Risk factor, birth asphyxia.

References

[1] Khu Thị Khánh Dung, Đinh Phương Hòa, Lê Thị Hà & cs, Thực trạng cấp cứu sơ sinh và mô hình bệnh tật cấp cứu sơ sinh tại các tuyến bệnh viện tỉnh Hòa Bình, Tạp chí Nhi khoa, 2021, 14 (1).
[2] Phạm Minh Pha, Dương Phúc Lam, Mô hình bệnh tật và tử vong cấp cứu sơ sinh tại các bệnh viện trong tỉnh Cà Mau năm 2017, Tạp chí Y Dược học Cần Thơ, 2018, 1-9.
[3] World Health Organization, South East Asia Region, South East Asia Regional Neonatal-Perinatal Database, 2010, SEAR-NPD, 2007-2008.
[4] Pattar RS, Incidence of multiorgan dysfunction in perinatal asphyxia, International Journal of Contemporary Pediatrics, 2015, 2, 428-432.
[5] Nguyễn Thị Thanh Bình, Đặc điểm trẻ sơ sinh đủ tháng và trẻ đẻ non, Nhà xuất bản Đại học Huế, 2022, Huế, tr. 147-158.
[6] Rainaldi MA, Perlman JM, Pathophysiology of birth asphyxia, Clinics in perinatology, 2016, 43 (3), 409-422.
[7] Bệnh viện Từ Dũ, Phác đồ điều trị sản phụ khoa, Nhà xuất bản Thanh niên, 2019, tr. 56-58, 59, 60-67, 73-76, 104-109, 110-112,113-116, 126-130.
[8] Aslam H.M et al, Risk factors of birth asphyxia, Ital J. Pediatr, 2014, 40: 94.
[9] Wubet AB, Getachew YY, Yared AA et al, Prevalence and associated factors of birth asphyxia among live births at Debre Tabor General Hospital, North Central Ethiopia, BMC Pregnancy Childbirth, 2020, 20 (1), 653.
[10] Seifu AM, Girum ST, Tewodros T et al, Perinatal asphyxia and associated factors among neonates admitted to a specialized public hospital in South Central Ethiopia: A retrospective cross-sectional study, PLOS ONE, 2022, 17 (1).