Indonesia is one of ten countries with the highest newborn mortality rate. Asphyxia is the second most common cause of neonatal death (27%) under low birth weight (35,3%) and is still a major health worldwide problem. The risk factor for neonatal asphyxia are grouped into four, maternal factors, infant factors, umbilical cord factors and labor factors. We aimed to determine the correlation between method of labor and incidence of neonatal asphyxia. This is a case control study which performed 37 neonates with asphyxia as the case and 37 neonates without asphyxia as the control at Wangaya Hospital from March to May 2022. Neonates who had major congenital abnormalities and born through vacuum and forceps were excluded. Assessment of neonatal asphyxia using Appearance, Pulse, Grimance, Activity, Respiration (APGAR) score. Analysis was performed using chi-square test, confident interval (CI) 95%, significant if p < 0.05. The study showed cesarean delivery method was the main risk factor for neonatal asphyxia (OR = 8,48; CI 95% = 2,83-25,44; p = 0,00). Other risk factors such as gestational age < 37 weeks, low birth weight, premature rupture of membranes, hypertension in pregnancy, and ante partum bleeding as confounding factors after being analyzed with the delivery of labor in neonates with asphyxia did not have a significant relationship (P > 0.05).
Published in | American Journal of Pediatrics (Volume 8, Issue 3) |
DOI | 10.11648/j.ajp.20220803.15 |
Page(s) | 177-180 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Method of Labor, Neonatal Asphyxia, APGAR Score
[1] | Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2019 [Indonesia Health Profile 2019]. Jakarta. 2020. |
[2] | Dinas Kesehatan Provinsi Bali. Profil Kesehatan Provinsi Bali 2017 [Bali Province Health Profile 2017]. Denpasar. 2018. |
[3] | Widiani A, Kurniati Y, Windiani T. Faktor Risiko Ibu dan Bayi Terhadap Kejadian Asfiksia Neonatorum di Bali: Penelitian Case Control [Maternal and Infant Risk Factors on The Incidence of Neonatal Asphyxia in Bali: Case Control Study]. Public Health and Preventive Medicine Archive. 2016; 4 (2): 12-126. |
[4] | Leslie VS, Muhammad FH, Bradley NB. APGAR Score. NCBI. 2022. |
[5] | Kardana IM. Risk Factors of Perinatal Asphyxia in The Term Newborn at Sanglah General Hospital, Bali-Indonesia. Bali Medical Journal (Bali Med J). 2016; 5 (1): 196-199. |
[6] | Kune G, Oljira H, Wakgari N, Zerihun E, Aboma M. Determinants of Birth Asphyxia Among Newborns Delivered in Public Hospitals of West Shoa Zone, Central Ethiopia: A Case-Control Study. PLOS ONE. 2021; 16 (3). |
[7] | WHO. Newborn Mortality. 2022. |
[8] | Kementerian Perencanaan Pembangunan Nasional (Bappenas) dan United Nations Children’s Fund. Laporan Baseline SDG tentang Anak-Anak di Indonesia [SDG Baseline Report on Children in Indonesia]. Jakarta. 2017. |
[9] | Indrapermana IGKF, Duarsa IS. Hubungan Derajat Keparahan Preeklamsia Dengan Kejadian Asfiksia Neonatorum di Rumah Sakit Umum Negara Periode Januari 2019-Januari 2020 [Correlation Between The Severity of Preeclamsia and The Incidence of Neonatal Asphyxia at Negara General Hospital period January 2019 -January 2020]. Intisari Sains Medis. 2020; 11: 1009-1014. |
[10] | Meshesha AD, Azage M, Worku E, Bogale GG. Determinants of Birth Asphyxia Among Newborns in Referral Hospital of Amhara National Regional State, Ethiopia. Pediatric Health, Medicine and Therapeutics. 2020, 11: 1-12. |
[11] | Sunny KA, Paudel P, Tiwari J, Bagale BB, Kukka A, Hong Z, et al. A Multicenter Study of Incidence, Risk Factors and Outcomes of Babies With Birth Asphyxia in Nepal. BMC Pediatrics. 2021, 21: 394. |
[12] | Jodjana C, Suryawan IWB. Hubungan Jenis Persalinan dengan Kejadian Asfiksia Neonatorum di Ruang Perinatologi dan Neonatal Intensive Care Unit (NICU) RSUD Wangaya Kota Denpasar [Correlation Between Type of Delivery and Neonatal Asphyxia at Perinatology and Neonatal Intensive Care Unit (NICU) Wangaya General Hospital Denpasar]. Intisari Sains Medis. 2020; 11: 393-397. |
[13] | Alireza S and Shirin M. The Investigation of Rate of Birth Asphyxia and its Relationship with Delivery Mode at Shahid Beheshti Hospital of Isfahan during 2013, 2014, and 2015. Internationa Journal of Preventive Medicine. 2019. |
[14] | Fanny F. Sectio Caesarea sebagai Faktor Risiko Kejadian Asfiksia Neonatorum [Sectio Caesarea as a Risk Factor for Neonatal Asphyxia]. Majority. 2015; 4 (3): 57-61. |
[15] | Panduan Resusitasi Neonatus edisi ketujuh [Neonatal Resuscitation Guide 7th Edition]. Jakarta: Perinasia. 2016. |
[16] | Marcdante KJ, Kliegman RM. Nelson Ilmu Kesehatan Anak Esensial Edisi Kedelapan [Nelson Essential Child Health Sciences 8th Edition]. Elsevier. 2021. |
[17] | Jimma SM, Abitew KM, Chanie ES, Eyesus FAG, Kelkay MK. Determinants of Birth Asphyxia Among Newborns in Northwest Ethiopia, 2019: Case Control Study. Heliyon. 2022. |
APA Style
I Gusti Agung Gede Narayana Tantra, I Wayan Bikin Suryawan, Kadek Suarca, I Gusti Ayu Trisna Windiani. (2022). Correlation Between Method of Labor and Incidence of Neonatal Asphyxia at Wangaya General Hospital, Denpasar. American Journal of Pediatrics, 8(3), 177-180. https://doi.org/10.11648/j.ajp.20220803.15
ACS Style
I Gusti Agung Gede Narayana Tantra; I Wayan Bikin Suryawan; Kadek Suarca; I Gusti Ayu Trisna Windiani. Correlation Between Method of Labor and Incidence of Neonatal Asphyxia at Wangaya General Hospital, Denpasar. Am. J. Pediatr. 2022, 8(3), 177-180. doi: 10.11648/j.ajp.20220803.15
AMA Style
I Gusti Agung Gede Narayana Tantra, I Wayan Bikin Suryawan, Kadek Suarca, I Gusti Ayu Trisna Windiani. Correlation Between Method of Labor and Incidence of Neonatal Asphyxia at Wangaya General Hospital, Denpasar. Am J Pediatr. 2022;8(3):177-180. doi: 10.11648/j.ajp.20220803.15
@article{10.11648/j.ajp.20220803.15, author = {I Gusti Agung Gede Narayana Tantra and I Wayan Bikin Suryawan and Kadek Suarca and I Gusti Ayu Trisna Windiani}, title = {Correlation Between Method of Labor and Incidence of Neonatal Asphyxia at Wangaya General Hospital, Denpasar}, journal = {American Journal of Pediatrics}, volume = {8}, number = {3}, pages = {177-180}, doi = {10.11648/j.ajp.20220803.15}, url = {https://doi.org/10.11648/j.ajp.20220803.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220803.15}, abstract = {Indonesia is one of ten countries with the highest newborn mortality rate. Asphyxia is the second most common cause of neonatal death (27%) under low birth weight (35,3%) and is still a major health worldwide problem. The risk factor for neonatal asphyxia are grouped into four, maternal factors, infant factors, umbilical cord factors and labor factors. We aimed to determine the correlation between method of labor and incidence of neonatal asphyxia. This is a case control study which performed 37 neonates with asphyxia as the case and 37 neonates without asphyxia as the control at Wangaya Hospital from March to May 2022. Neonates who had major congenital abnormalities and born through vacuum and forceps were excluded. Assessment of neonatal asphyxia using Appearance, Pulse, Grimance, Activity, Respiration (APGAR) score. Analysis was performed using chi-square test, confident interval (CI) 95%, significant if p 0.05).}, year = {2022} }
TY - JOUR T1 - Correlation Between Method of Labor and Incidence of Neonatal Asphyxia at Wangaya General Hospital, Denpasar AU - I Gusti Agung Gede Narayana Tantra AU - I Wayan Bikin Suryawan AU - Kadek Suarca AU - I Gusti Ayu Trisna Windiani Y1 - 2022/08/10 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220803.15 DO - 10.11648/j.ajp.20220803.15 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 177 EP - 180 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220803.15 AB - Indonesia is one of ten countries with the highest newborn mortality rate. Asphyxia is the second most common cause of neonatal death (27%) under low birth weight (35,3%) and is still a major health worldwide problem. The risk factor for neonatal asphyxia are grouped into four, maternal factors, infant factors, umbilical cord factors and labor factors. We aimed to determine the correlation between method of labor and incidence of neonatal asphyxia. This is a case control study which performed 37 neonates with asphyxia as the case and 37 neonates without asphyxia as the control at Wangaya Hospital from March to May 2022. Neonates who had major congenital abnormalities and born through vacuum and forceps were excluded. Assessment of neonatal asphyxia using Appearance, Pulse, Grimance, Activity, Respiration (APGAR) score. Analysis was performed using chi-square test, confident interval (CI) 95%, significant if p 0.05). VL - 8 IS - 3 ER -