Perinatal asphyxia: multivariate analysis of risk factors in hospital births.

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dc.contributor.authorChandra, Sen_US
dc.contributor.authorRamji, Sen_US
dc.contributor.authorThirupuram, Sen_US
dc.date.accessioned1997-03-01en_US
dc.date.accessioned2009-05-27T05:46:13Z
dc.date.available1997-03-01en_US
dc.date.available2009-05-27T05:46:13Z
dc.date.issued1997-03-01en_US
dc.description.abstractOBJECTIVE: To determine risk factors for perinatal asphyxia. DESIGN: Cohort study. SETTING: Teaching hospital. METHODS: All consecutive hospital births were evaluated during the study period. Asphyxia was defined on intrapartum and neonatal resuscitation criteria. Maternal, intrapartum and neonatal variables were recorded in all births. Data was analyzed after stratifying for live and stillbirths by univariate and logistic regression analyses. RESULTS: Amongst 2371 births (55 fetal deaths and 2316 live births), there were 86 cases of perinatal asphyxia (35 fetal deaths and 51 live births), providing an asphyxia rate of 36.3/1000 births. On multivariate analysis, risk factors significantly associated with asphyxia included prolonged second stage labor (OR 9.4), vaginal breech delivery (OR 6.6), elective cesarean delivery (OR 4.6), pregnancy induced hypertension (PIH) (OR 2.7) and fetal growth retardation (SFD) (OR 2.4). Amongst stillborn, the significant univariate factors associated with asphyxia were prolonged second stage labor (RR 1.7) and cord prolapse (RR 1.7). CONCLUSIONS: There is a need to strengthen intrapartum management and early identification of mothers with PIH or intrauterine growth retardation to reduce asphyxial morbidity and mortality.en_US
dc.description.affiliationDepartment of Pediatrics, Maulana Azad Medical College, New Delhi.en_US
dc.identifier.citationChandra S, Ramji S, Thirupuram S. Perinatal asphyxia: multivariate analysis of risk factors in hospital births. Indian Pediatrics. 1997 Mar; 34(3): 206-12en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/13031
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshAsphyxia Neonatorum --diagnosisen_US
dc.subject.meshCause of Deathen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Deathen_US
dc.subject.meshHospital Mortalityen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInfant Mortalityen_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshMultivariate Analysisen_US
dc.subject.meshPregnancyen_US
dc.subject.meshRisk Factorsen_US
dc.titlePerinatal asphyxia: multivariate analysis of risk factors in hospital births.en_US
dc.typeJournal Articleen_US
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