Risk Factors and Survival in Asphyxia Neonates in Nicu Care of Rsud Daya Makassar
Abstract
Background: Neonatal asphyxia is one of the diseases that cause neonatal mortality, SDGs have a target to end neonatal mortality which is done by addressing the health problems that cause neonatal mortality itself. The survival of asphyxia neonates is influenced by several factors originating from the mother and fetus.
Objective: To analyze the proportion of asphyxia neonate survival, risk factors, hazard ratio, and the most dominant factor affecting neonate survival.a
Methods: Retrospective cohort study was designed in this study using 351 medical records of neonates who experienced neonatal asphyxia in 2019-2023 at Daya Hospital Makassar City, while to analyze the effect of independent variables on dependent variables, Cox regression analysis was conducted as well as to predict the hazard ratio of each variable on the survival of neonates who experienced neonatal asphyxia.
Results: From all samples, the proportion of neonates who survived was 68%, severe neonatal asphyxia in neonates caused more neonatal mortality. Risk factors that statistically influenced neonates survival were maternal age (HR=1.939, CI=1.270-2.961), premature rupture of membranes (HR=2.005, CI=1.240-3.242), LBW (HR=2.107, CI=1.275-3.479), and prematurity (HR=1.803, CI=1.103-2.945).
Conclusion: LBW factor is the most dominant factor affecting neonate survival, thus good maternal knowledge and health services are needed so that good planning can be done long before the pregnancy process occurs, so that dangers and complications during pregnancy can be minimized.
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