The Main Casual Factors Associated with The Incidence of Asphyxia Neonatorum
Main Article Content
Abstract
Background: Asphyxia is the second most common cause of neonatal death after babies with low birth weight (LBW). The factors that can cause asphyxia include preeclampsia, premature birth, prenatal anemia, antepartum bleeding and premature rupture of membranes.
Purpose: This study aimed to determine the main causative factors associated with the incidence of asphyxia neonatorum at RSUP Dr. M. Djamil Padang in 2021.
Methods: This research was a quantitative research with an analytic approach with a cross sectional design, was conducted in the Medical Record Sub-Division of RSUP Dr. M. Djamil Padang in December 2022. The sample in this study were babies who were diagnosed with asphyxia totaling 132 people obtained by total sampling technique. Collection data were taken from patient medical records and analyzed univariately, bivariately (test chi square), and multivariate (logistic regression analysis) with 95% CI.
Results: The result showed that 77.3% of patients had moderate asphyxia. The result of this study showed that majority of patients with severe asphyxia with preeclampsia mothers 60.0% (p=0.001), premature birth 76,7% (p=0.044), anemia mothers 53,3% (p=0.035), did not experience antepartum hemorrhage 83,3% (p=0.390), and premature rupture of membranes 73,3% (p=0.000). The most dominant factor was premature rupture of membranes with OR=34.988).
Conclusion: It was concluded that there was a relationship between preeclampsia, premature birth, prenatal anemia, premature rupture of membranes, and there was no relationship between antepartum bleeding and neonatal asphyxia. The factor that has the most dominant influence on the incidence of neonatal asphyxia is premature rupture of membranes. Suggestions for health workers to maintain and improve services to patients, especially asphyxia neonatorum.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles and files in this journal are licensed under a Creative Commons Attribution 4.0 International License.
References
Abdo, Halil, Kebede, Anshebo, & Gejo. (2019). Prevalence and contributing factors of birth asphyxia among the neonates delivered at Nigist Eleni Mohammed memorial teaching hospital, Southern Ethiopia: a cross-sectional study. BMC Pregnancy and Childbirth, 19(1), 536. https://doi.org/10.1186/s12884-019-2696-6
Amokrane, Allen, Waterfield, & Datta. (2016). Antepartum Haemorrhage. Obstetrics, Gynaecology, & Reproductive Medicine, 26(2), 33–37. http://dx.doi.org/10.1016/j.orgm.2015.11.09.
Anisa, N., Astuti, A. W., & Hakimi, M. (2017). Correlation between complications during delivery and neonatal mortality: Data analysis of Indonesia Demographic and Health Survey (IDHS) 2017. 125–138. https://doi.org/10.20885/JKKI.Vol13.Iss2.art5
Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A. M., … Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. The Lancet, 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
Darulis, N. O., Kundaryanti, R., & Novelia, S. (2021). The Effect of Betel Leaf Water Decoction on Perineal Wound Healing among Post Partum Women. Nursing and Health Sciences Journal (NHSJ), 1(2), 130–135. https://doi.org/10.53713/nhs.v1i2.64
Demissie, Abera, Chichiabellu, & Astawesegn. (2018). Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia. BMC Pediatrics, 18(1), 263. https://doi.org/10.1186/s12887-018-1238-0
Dimkpa, U., & Oji, J. O. (2010). Association of heart rate recovery after exercise with indices of obesity in healthy, non-obese adults. European Journal of Applied Physiology, 108(4), 695–699. https://doi.org/10.1007/s00421-009-1276-2
Goodman, J. H., Guarino, A., Chenausky, K., Klein, L., Prager, J., Petersen, R., Forget, A., & Freeman, M. (2014). CALM Pregnancy: results of a pilot study of mindfulness-based cognitive therapy for perinatal anxiety. Archives of Women’s Mental Health, 17(5), 373–387. https://doi.org/10.1007/s00737-013-0402-7
Mappa, I., Distefano, F. A., & Rizzo, G. (2020). Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. Journal of Perinatal Medicine, 48(6), 545–550. https://doi.org/10.1515/jpm-2020-0182
Martini. (2021). The Relationship of Anemia in Pregnancy Woman Trimester III with Neonatorum Asphician Events. Jurnal Profesi Bidan Indonesia, 1(2), 1–9.
Miyaoka, T., Yasukawa, R., Yasuda, H., Shimizu, M., Mizuno, S., Sukegawa, T., Inagaki, T., & Horiguchi, J. (2005). Urinary excretion of biopyrrins, oxidative metabolites of bilirubin, increases in patients with psychiatric disorders. European Neuropsychopharmacology, 15(3), 249–252. https://doi.org/10.1016/j.euroneuro.2004.11.002
Mochtar. (2018). Sinopsis Obstetri:Obstetri Fisiologi, Obstetri Patologi. Ed 3. Jakarta: EGC.
Portiarabella, Wardhana, & Pratiningrum. (2021). Factors Affecting Asphyxia Neonatorum: A Literature Review. Jurnal Sains Dan Kesehatan, 3(3), 538–543. https://doi.org/10.25026/jsk.v3i3.413
Ratna Ningsih, F. F. (2019). Hemoglobin concentration is correlated with Low Birth Weight Babies (LBWB). Journal of Health Technology Assessment in Midwifery, 2(2).
Sirenden, Afni, & Ansar. (2018). Risk Factors for Anemia in Pregnant Women at the Biromaru Public Health Center, Sigi Regency.
Tasaw, Zemicheal, Teklay, Mariye, & Ayele. (2018). Risk Factor of Birth Asphyxia Among Newborns in Public Hospitals of Central Zone, Tigray, Ethiopia 2018. BMC Research Notes, 11(496), 1–7.
Tunggal, Dewi, Wulandari., & Sari. (2022). Risk Factors Associated with Neonatal Asphyxia. Midwifery and Reproduction, 5(2), 58–65.
WHO. (2016). Global Health Observatory Data: Neonatal Mortality. World Health Organization. Geneva. https://www.who.int/gho/child_health/mortality/neonatal.
World Health Organization, (WHO). (2018). Preterm Birth. https://www.who.int/news-room/fact-sheets/detail/preterm-birth