Scholarlink

Background <p>Respiratory distress (RD) is a common cause of neonatal morbidity and mortality globally, particularly in resource-limited settings. Although standard management exists in the neonatal intensive care unit, the determinants are not well understood. Therefore, this study aimed to identify the risk factors for respiratory distress among newborns admitted to NICUs in selected public hospitals in Addis Ababa, Ethiopia, in 2024.</p> Methods <p>An institution-based unmatched retrospective case-control study was conducted at selected public hospitals in Addis Ababa from March 1 to April 1, 2024. Systematic random sampling was used to select the cases and controls. Data were collected through face-to-face interviews using a structured, pre-tested questionnaire for mothers (Informed consent was obtained from each mother through written and oral explanations), and a data extraction checklist for mothers and neonatal medical records. Data were collected using the Kobo Toolbox (Harvard Humanitarian Initiative, Cambridge, MA, USA), and the collected data were exported to the Statistical Package for the Social Sciences (SPSS) software version 26 for analysis. Binary logistic regression was used for both bi-variable and multivariable analyses, and statistical significance was set at <i>p</i> &lt; 0.05.</p> Results <p>In this study, 489 neonates and their mothers were included, yielding a 100% response rate. Emergency cesarean section (AOR = 3.074, 95% CI: 1.016–9.302), meconium-stained amniotic fluid (AOR = 5.103, 95% CI: 1.739–14.974), low birth weight (&lt; 2500&#xa0;g) (AOR = 3.592, 95% CI: 1.293–9.978), and low first-minute Apgar score &lt; 7 (AOR = 9.693, 95% CI: 3.945–23.817) were identified as predictors of respiratory distress.</p> Conclusion <p>Emergency cesarean section, meconium-stained amniotic fluid, low birth weight, and low first-minute Apgar score were identified as determinants of respiratory distress. Monitoring during labor and delivery and prompt and effective neonatal resuscitation may reduce respiratory distress.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Risk factors of respiratory distress among newborns admitted to the neonatal intensive care unit at public hospitals of addis ababa, Ethiopia. unmatched case-control study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月2日

查看全文
  • Tenaw Belay Shitie,
  • Daniel Mengistu Bekele,
  • Feven Mulugeta Ashagrie,
  • Tirusew Nigussie Kebede

摘要

Background

Respiratory distress (RD) is a common cause of neonatal morbidity and mortality globally, particularly in resource-limited settings. Although standard management exists in the neonatal intensive care unit, the determinants are not well understood. Therefore, this study aimed to identify the risk factors for respiratory distress among newborns admitted to NICUs in selected public hospitals in Addis Ababa, Ethiopia, in 2024.

Methods

An institution-based unmatched retrospective case-control study was conducted at selected public hospitals in Addis Ababa from March 1 to April 1, 2024. Systematic random sampling was used to select the cases and controls. Data were collected through face-to-face interviews using a structured, pre-tested questionnaire for mothers (Informed consent was obtained from each mother through written and oral explanations), and a data extraction checklist for mothers and neonatal medical records. Data were collected using the Kobo Toolbox (Harvard Humanitarian Initiative, Cambridge, MA, USA), and the collected data were exported to the Statistical Package for the Social Sciences (SPSS) software version 26 for analysis. Binary logistic regression was used for both bi-variable and multivariable analyses, and statistical significance was set at p < 0.05.

Results

In this study, 489 neonates and their mothers were included, yielding a 100% response rate. Emergency cesarean section (AOR = 3.074, 95% CI: 1.016–9.302), meconium-stained amniotic fluid (AOR = 5.103, 95% CI: 1.739–14.974), low birth weight (< 2500 g) (AOR = 3.592, 95% CI: 1.293–9.978), and low first-minute Apgar score < 7 (AOR = 9.693, 95% CI: 3.945–23.817) were identified as predictors of respiratory distress.

Conclusion

Emergency cesarean section, meconium-stained amniotic fluid, low birth weight, and low first-minute Apgar score were identified as determinants of respiratory distress. Monitoring during labor and delivery and prompt and effective neonatal resuscitation may reduce respiratory distress.