Factors associated with low fifth minute Apgar score among newborns delivered at public health facilities of Dilla town, Southern Ethiopia, 2022

Mesfin Abebe , Tsion Mulat Tebeje , Tesfaye Gugsa , Daniel Kebede , Tesfaye Temesgen , Zerihun Figa , Getnet Melaku , Melkam Andargie , Zerihun Solomon , Habtamu Endashaw Hareru
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Abstract

Objective

The aim of this study is to identify the associated factors of low fifth minute Apgar scores among newborns in Dilla town public health facilities, southern Ethiopia.

Methods

An institution-based case-control study was conducted in Dilla town public health facilities, Southern Ethiopia. The case and control groups were newborns with fifth minute Apgar score of < 7 and ≥ 7, respectively. The study included 534 participants (178 cases and 356 controls). Data were collected through face-to-face interviews and record reviews. Consecutive and systematic random sampling was used to recruit cases and controls, respectively. Bivariate and multivariate analyses were performed. The degree of association between independent and dependent variables was assessed using adjusted odds ratios (ORs) with 95 % confidence intervals (CIs). Finally, variables with a p-value of < 0.05, were consider that had statistically significant.

Results

In this study, No antenatal care follow-up [AOR = 1.74, 95 % CI: (1.12, 2.69)], instrumental mode of delivery [AOR = 2.11, 95 % CI: (1.25, 3.56)], non-vertex presentation [AOR = 6.54, 95 % CI: (2.92, 14.65)], prolonged second stage of labor [AOR = 5.63, 95 % CI: (2.45, 12.95)], and gestational hypertension [AOR = 0.45, 95 % CI: (0.22, 0.86)] were significantly associated with a low fifth minute Apgar score.

Conclusions

This study found that no antenatal care follow-up, instrumental mode of delivery, pregnancy-induced hypertension, prolonged second stage of labor, and non-vertex presentation were all independently associated with low fifth-minute Apgar scores. These findings suggest the need for improved maternal and neonatal care during pregnancy, delivery, and the postpartum period to reduce the risk of low Apgar scores and to improve newborn outcomes.

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2022 年埃塞俄比亚南部迪拉镇公立医疗机构新生儿第五分钟阿普加评分偏低的相关因素
方法 在埃塞俄比亚南部的迪拉镇公共卫生机构开展了一项基于机构的病例对照研究。病例组和对照组分别为第五分钟Apgar评分为< 7分和≥7分的新生儿。研究包括 534 名参与者(178 名病例组和 356 名对照组)。数据通过面对面访谈和记录审查收集。病例和对照组的招募分别采用了连续随机抽样和系统随机抽样的方法。研究进行了二元和多元分析。自变量和因变量之间的关联程度使用调整后的几率比(ORs)和 95 % 置信区间(CIs)进行评估。最后,P 值为 < 0.05 的变量被认为具有统计学意义。结果在本研究中,无产前护理随访[AOR = 1.74,95 % CI:(1.12, 2.69)]、器械助产方式[AOR = 2.11,95 % CI:(1.25,3.56)]、非头臀先露[AOR = 6.54,95 % CI:(2.92,14.65)]、第二产程延长[AOR = 5.63,95 % CI:(2.45,12.结论 本研究发现,无产前护理随访、器械助产方式、妊娠高血压、第二产程延长和非头颈部先露均与第五分钟 Apgar 评分低独立相关。这些研究结果表明,有必要改善孕期、分娩期和产后的产妇和新生儿护理,以降低低Apgar评分的风险并改善新生儿预后。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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