Table 3.
Associated factors with perinatal asphyxia among newborns at Dilla University referral hospital, southern Ethiopia, 2017 (n=256)
| Variables | Asphyxia | Crude OR (95%CI) | Adjusted OR (95%CI) | P-value | |
|---|---|---|---|---|---|
| Yes (n=84) | No (n=172) | ||||
| Complication/illnesses during pregnancy | |||||
| Anemia | 16 | 14 | 4.134(1.836, 9.309) | 2.992(1.073, 8.348) | 0.036* |
| Preeclampsia/eclampsia | 10 | 18 | 2.010(0.849, 4.755) | 2.001(0.643, 6.229) | 0.231 |
| Chronic hypertension | 8 | 7 | 4.134(1.400, 12.213) | 4.894(1.156, 20.721) | 0.031* |
| APH | 11 | 7 | 5.685(2.048, 15.779) | 3.233(0.832, 12.565) | 0.090 |
| PROM | 5 | 3 | 6.029(1.371, 26.510) | 3.981(0.658, 24.067) | 0.132 |
| No illness | 34 | 123 | Ref | Ref | |
| Volume of amniotic fluid | |||||
| There is no AF checkup | 41 | 69 | 1.997(1.106, 3.604) | 1.618(0.750, 3.493) | 0.220 |
| Polyhydramnios | 4 | 4 | 3.360(0.783, 14.411) | 1.199(0.177, 8.107) | 0.852 |
| Oligohydramnios | 14 | 15 | 3.136(1.335, 7.369) | 1.179(0.375, 3.707) | 0.779 |
| Normal | 25 | 84 | Ref | Ref | |
| Mode of delivery | |||||
| SVD | 36 | 118 | Ref | Ref | |
| Assisted vaginal delivery | 28 | 30 | 3.059(1.620, 5.779) | 1.816(0.778, 4.243) | 0.168 |
| Non-vaginal (C/S) | 20 | 24 | 2.731(1.355, 5.506) | 2.088(0.844, 5.165) | 0.111 |
| Duration of labor | |||||
| >12 hrs (prolonged) | 39 | 53 | 1.946(1.137, 3.330) | 1.085(0.531, 2.218) | 0.823 |
| <12 hrs (not prolonged) | 45 | 119 | Ref | Ref | |
| Types of complication | |||||
| Convulsion | 3 | 7 | 1.238(0.304, 5.044) | 0.374 (0.062, 2.241) | 0.282 |
| Fever | 8 | 15 | 1.541(0.603, 3.937) | 0.210 (0.056, 0.788) | 0.021 |
| Excessive bleeding | 15 | 12 | 3.611(1.546, 8.436) | 0.886 (0.277, 2.834) | 0.838 |
| Abnormal presentation | 9 | 10 | 2.600(0.979, 6.907) | 0.609 (0.169,2.199) | 0.449 |
| Abnormal cord present | 13 | 24 | 1.565(0.722, 3.393) | 1.017 (0.377, 2.744) | 0.974 |
| No complication | 36 | 104 | Ref | Ref | |
| Color of AF | |||||
| Clear | 28 | 120 | Ref | Ref | |
| Meconium stained | 48 | 43 | 4.784(2.674, 8.561) | 3.593(1.739, 7.424) | 0.001* |
| Bloody stained | 8 | 9 | 3.810(1.350, 10.750) | 1.940(0.488, 7.710) | 0.347 |
| GA of the NB at birth | |||||
| Preterm | 36 | 30 | 4.509(2.430, 8.367) | 2.278(0.957, 5.422) | 0.063 |
| Post term | 15 | 18 | 3.131(1.428, 6.868) | 2.426(0.905, 6.504 | 0.078 |
| Term | 33 | 124 | Ref | Ref | |
| Birth weight | |||||
| Low birth weight (<2.5 kg) | 30 | 15 | 5.765(2.872, 11.572) | 3.309(1.308, 8.368) | 0.011* |
| Macrosomia/big baby (>4 kg) | 3 | 10 | 0.865(0.229, 3.266) | 0.541(0.103, 2.844) | 0.468 |
Note: *P<0.05.
Abbreviatoins: APH, antepartum hemorrhage; PROM, premature rupture of membrane; AF, amniotic fluid; SVD, spontaneous vaginal delivery; C/S, cesarean section; GA, gestational age; NB, newborn; Ref, reference.