Prevalence, case fatality rate and risk factors for mortality among neonates admitted with perinatal asphyxia at a tertiary hospital in northern Nigeria

Documenting the burden and risk factors for perinatal asphyxia-related mortality is key to its prevention. The goal was document associated with in asphyxia a tertiary health facility Nigeria. Records of consecutive neonatal admissions (between January 2016 2017) underwent retrospective analysis. Data were analyzed using Stata statistical software version 16 (Statacorp® Texas, USA). 102 (12.1%) 841 admitted neonates had asphyxia; median age (inter quartile range [IQR]) 6 (0-168) hours. mean admission weight ±(SD) 2.96kg±(0.66) kg. Among inborn neonates, incidence 9.7 per 1000 live births. In 49% (50/102) pregnancies amniotic fluid clear; 42% (43/102) it meconium-stained; 9 staining unreported. Case fatality rate 20.6% (21 102). 77(75%) no HIE, while 24 (24.5%) did. When compared without those HIE II about 7000 times higher odds (aOR = 68132.19, P0.01, 95% CI 3 1.4X 109). adjusted neonate meconium-stained liquor 1900 clear meconium =1895, P 0.02, 95%CI 2.7 13072). Neonates lengths (49.4cm [range 48.8 50]) 88 lower death shorter 0.12 (95% CI: 0.17 0.85; p 0.03).