Ugwu G I McGil, Abedi H O, Ugwu E N
Delta State University.
Glob J Health Sci. 2012 Aug 9;4(5):140-6. doi: 10.5539/gjhs.v4n5p140.
Birth asphyxia is one of the commonest causes of neonatal morbidity and mortality in developing countries. Together with prematurity and neonatal sepsis, they account for over 80% of neonatal deaths.
To determine the incidence and mortality rate of birth asphyxia in Warri Niger Delta of Nigeria.
Recovery of case notes of all the newborn babies seen from January 2000 to December 2007 at Central Hospital Warri and GN children's Clinic, Warri, was undertaken. They were analyzed and those with birth asphyxia were further analyzed, noting the causes, severity of asphyxia, sex of the babies, management given.
A total of 864 out of 26,000 neonates seen within this period had birth asphyxia. 525 (28/1000 live births) had mild asphyxia while 32% were severely asphyxiated. 61.5% of the asphyxiated were born at maternities, churches or delivered by traditional birth attendants or at home. Prolonged labour was the commonest cause of asphyxia and asphyxia was more in neonates from unbooked patients.
The incidence of bith asphyxia in Warri is 28/1000. Majority of patients are from prolonged labour and delivery at unrecognized centres. Health education will dratically reduce the burden of asphyxia neanatorum as unsubtanciated religous beliefs have done a great havoc.
在发展中国家，出生窒息是新生儿发病和死亡的最常见原因之一。它与早产和新生儿败血症一起，占新生儿死亡总数的80%以上。
确定尼日利亚瓦里尼日尔三角洲地区出生窒息的发病率和死亡率。
收集了2000年1月至2007年12月期间在瓦里中央医院和瓦里GN儿童诊所就诊的所有新生儿的病历。对这些病历进行分析，对患有出生窒息的新生儿进一步分析，记录其病因、窒息严重程度、婴儿性别及所采取的治疗措施。
在此期间就诊的26000名新生儿中，共有864例发生出生窒息。525例（每1000例活产中有28例）为轻度窒息，32%为重度窒息。61.5%的窒息新生儿是在产妇家中、教堂由传统接生员接生或在家中出生。产程延长是窒息最常见的原因，未登记产妇的新生儿窒息发生率更高。
瓦里地区出生窒息的发病率为每1000例中有28例。大多数患者是由于产程延长以及在未被认可的场所分娩。由于无根据的宗教信仰造成了极大危害，开展健康教育将大幅减轻新生儿窒息的负担。
