Risk Factors of Birth Asphyxia in Neonate Born to Booked Vs Un-booked Mothers at SKBZ Muzaffarabad

Halla Aziz; Raja Imtiaz Ahmed; Kiran Ashfaq; Irum Javed; Mohsin Javed; Naheem Ahmed

Halla Aziz Resident FCPS II PAEDS CMH/SKBZ MZD, 2Assistant Professor Paeds, AJKMC
Raja Imtiaz Ahmed Assistant Professor Paeds, AJKMC
Kiran Ashfaq Assistant Professor Paeds, AJKMC
Irum Javed Assistant Professor Paeds POONCH MEDICAL COLLEGE, RAWLAKOT
Mohsin Javed Resident of Radiology CMH/SKBZ MZD
Naheem Ahmed Professor of Paeds AJKMC

Keywords: New born, birth asphyxia

Abstract

Objective: To determine the risk factors associated to birth asphyxia in neonates born to booked versus un-booked mothers in a tertiary care Hospital

Methodology: This cross-sectional comparative study was done at pediatric department of SKBZ Muzaffarabad. Study was done after taking approval form CPSP and ethical review committee of SKBZ Muzaffarabad for duration of one year from March 2022 to February 2023. New born babies (â‰¥28 weeks of gestation) diagnosed with birth asphyxia born to both booked and un-booked mothers were included. All the patients were evaluated for the birth asphyxia and were compared as per booking status of the women. All the information was entered and analyzed using SPSS version 26.

Results: Overall maternal mean age was 27.5 years. Term deliveries were slightly more common among booked mothers, while preterm births were more frequent among un-booked mothers. Deliveries were mostly managed by doctors, with similar occurrences of meconium-stained liquor. Polyhydramnios was observed only in booked cases. Newborns in the booked group generally had better crying statuses, whereas the umbilical cord was more frequently around the neck in un-booked deliveries, with statistically significant findings for types of birth and cord around (p >0.05). Moreover, 27.3% of mothers had no comorbidities, but multiple conditions such as hypertension (PIH) and combinations of PIH with other issues like diabetes, UTI, anemia, and PROM were prevalent. Notably, un-booked mothers had a higher incidence of PROM and anemia (9.1%). The distribution of comorbidities was significantly different between booked and un-booked groups, (p- 0.001)

Conclusion: Study revealed that the un-booked mothers had a higher prevalence of multiple comorbidities. This significantly increased the likelihood of adverse outcomes, including birth asphyxia. Specifically, conditions like PROM combined with anemia were notably higher among un-booked mothers, emphasizing the compounded risk associated with the absence of proper prenatal care