Evaluation Of Maternal Risk Factors On Neonatal Asphyxia In Surakarta, Indonesia
Siti Lestari, MN1*, Dyah Dwi Astuti, MKep Sp An2, Rendy Setyawan Dharmawan, MKep3, Fachriza Malika Ramadhani, STr Kep4

Nursing Department of Polytechnic of Health, Surakarta, Jln letjend Soetoyo Mojosongo, Surakarta Indonesia

Abstract

Background: Neonatal asphyxia increases the risk of death in infants because the baby will fail to breathe. WHO data show 4 million incidences of death from neonatal asphyxia.
Objective: This study aims to evaluate maternal risk factors in neonatal asphyxia.
Method: a retrospective case-control study, conducted at a hospital in the city of Surakarta, using data from 2013-2018. Neonates who were diagnosed with medical asphyxia were considered a case group, and maternal risk factors were identified, whereas neonates who were not diagnosed with asphyxia were considered a control group. Maternal and infant demographics were recorded, and maternal risk factors were asked of the mother. All data were entered and analyzed using SPSS 22.
Results: Of a total of 240 neonates, 88 were the case group and 176 the control group. Statistical analysis showed that the history of bleeding (95% P 0.26) correlated with the incidence of neonatal asphyxia, while the variable of premature rupture of membranes (OR 0.96 CI 95% P 0.86), prolonged labor (OR 2.59 CI 95% P 0.15), and eclampsi (OR 1.39 CI 95% P 0.26) did not correlate.
Conclusion: Several maternal risk factors correlate with the incidence of neonatal asphyxia. Preventive measures in the form of suppressing maternal risk factors are needed.

Keywords: Neonatal asphyxia, maternal risk factors

Topic: Maternity and Pediatric Nursing