Publication:
A Comparative Cross-sectional Study on Determinants of Birth Asphyxia in Referral and District Hospital Settings

Simple item page
creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorKoirala, Jaya
dc.contributor.authorKharde, Sangeeta
dc.contributor.authorPoudel, Pradish
dc.contributor.authorTakahashi, Kumi
dc.contributor.authorDahal, Pratikshya Sharma
dc.contributor.authorJamir, Arenlila
dc.date.accessioned2025-10-12T08:00:13Z
dc.date.available2025-10-12T08:00:13Z
dc.date.issued2025
dc.descriptionAuthor Biographies Pradish Poudel, Global Health Scholar, Department of Global of Health and Social Medicine, Harvard Medical School, 641 Huntington, Avenue, Massachusetts 02115, USA. Arenlila Jamir, CPMS College of Nursing, Amgaon, Narengi Tinali, Guwahati, Assam 781026, India
dc.description.abstractAbstract: Introduction : Birth asphyxia is a leading cause of neonatal morbidity and mortality in India. This study aimed to identify determinants of birth asphyxia among mothers delivering at a referral centre and a district hospital in the northern region of southern India. Methods : A cross-sectional comparative study was conducted from January to June 2023 involving 334 mothers (167 from each facility) selected through purposive sampling. Data were analyzed using Excel and SPSS. Descriptive and inferential statistics, including binary logistic regression, were applied to identify factors associated with birth asphyxia. Results : The mean maternal age was 23.83 ± 3.75 years. Maternal anemia, alcohol consumption, primiparity, and low family income were significantly associated with birth asphyxia across both settings. Moderate anemia notably increased risk at the referral centre (OR = 45.02, p = 0.01), while mild anemia was a significant risk factor at the district hospital (OR = 18.62, p = 0.002). Alcohol use markedly elevated birth asphyxia risk; conversely, abstinence was protective (referral centre OR = 0.03, p = 0.028; district hospital OR = 0.01, p = 0.013). Dietary pattern was a significant factor only at the district hospital, with pure vegetarian mothers showing higher risk (OR = 15.89, p = 0.025). Maternal age, residence, antenatal visits, and smoking showed no significant associations. Conclusion : Maternal anemia, alcohol consumption, primiparity, low socioeconomic status, and specific dietary patterns are key determinants of birth asphyxia. Targeted interventions to improve maternal nutrition and reduce substance use are essential to lowering birth asphyxia incidence and improving neonatal outcomes.
dc.identifierhttps://doi.org/10.60086/jnps.v45i2.1333
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2589
dc.language.isoen_US
dc.publisherPerinatal Society of Nepal (PESON)
dc.subjectAlcohol consumption
dc.subjectAnemia
dc.subjectBirth asphyxia
dc.subjectDietary pattern
dc.subjectMaternal health
dc.subjectPrimiparity
dc.subjectSocioeconomic factors
dc.subjectSouthern India
dc.titleA Comparative Cross-sectional Study on Determinants of Birth Asphyxia in Referral and District Hospital Settings
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage7
oaire.citation.startPage1
relation.isJournalIssueOfPublicationd5b46f56-074b-49e8-b8e7-87bce45321ec
relation.isJournalIssueOfPublication.latestForDiscoveryd5b46f56-074b-49e8-b8e7-87bce45321ec
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
1-7.pdf
Size:
240.93 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.86 KB
Format:
Item-specific license agreed to upon submission
Description:
Download

Collections

Publications

Connect with us

Nepal Health Research Council © 2023
Ramshah Path, Kathmandu Nepal P.O.Box 7626