BACKGROUND Birth asphyxia is a major contributor to neonatal mortality worldwide. In Ethiopia, birth asphyxia remains a severe condition that leads to significant mortality and morbidity. This study aims to assess the prevalence and contributing factors of birth asphyxia among the neonates delivered at the Nigist Eleni Mohammed Memorial Teaching Hospital, Southern Ethiopia. METHODS This hospital-based cross-sectional study was carried out on 279 participants using the systematic sampling method during June 1-30, 2019. Data were collected using a pretested structured interviewer administered questionnaire, check list and chart review, which was used to retrieve medical information and mother's test results that could not be captured by the interview. Data were entered into EpiData (version 3.1) and analyzed using SPSS software (version 24). Multivariable regression analysis was used to identify the association between the independent variables and outcome variable with a 95% confidence interval (CI). RESULT The overall prevalence of birth asphyxia among newborns was found to be 15.1%. Factors that were significantly associated with birth asphyxia included mothers aged ≥35 (AOR = 6.4; 95% CI = 2.0-20.5), primigravida (AOR = 5.1; 95% CI =2.0-13.3), prolonged second stage of labor (AOR = 4.6; 95%CI =1.6-13.3), preterm birth (AOR = 4.7; 95% CI =1.5-14.1), meconium stained amniotic fluid (AOR = 7.5; 95% CI =2.5-21.4) and tight nuchal (AOR = 3.1; 95% CI =1.2-9.3). CONCLUSION Birth asphyxia is still prevalent in the study setting. The obtained findings indicated that the mothers aged ≥35, being primigravida, preterm birth, meconium stained amniotic fluid and tight nuchal were the factors associated with birth asphyxia. The results of this study show the need for better maternal care, creating awareness about contributing factors of birth asphyxia to the maternity health professionals, careful monitoring of labor, and identifying and taking proper measures that could help in reducing the occurrence of birth asphyxia.

中文翻译：

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埃塞俄比亚南部Nigist Eleni Mohammed纪念教学医院分娩的新生儿中新生儿窒息的患病率和影响因素：一项横断面研究。

背景技术出生窒息是全世界新生儿死亡率的主要贡献者。在埃塞俄比亚，出生窒息仍然是一种严重的疾病，导致严重的死亡率和发病率。这项研究旨在评估埃塞俄比亚南部Nigist Eleni Mohammed Memorial教学医院分娩的新生儿中窒息的患病率和影响因素。方法这项基于医院的横断面研究于2019年6月1日至30日使用系统抽样方法对279名参与者进行了研究。采访无法捕获的医疗信息和母亲的检查结果。将数据输入EpiData（版本3.1）并使用SPSS软件（版本24）进行分析。多变量回归分析用于确定自变量与结果变量之间的关联，置信区间（CI）为95％。结果发现新生儿新生儿窒息的总体患病率为15.1％。与出生窒息显着相关的因素包括≥35岁的母亲（AOR = 6.4; 95％CI = 2.0-20.5），初产妇（AOR = 5.1; 95％CI = 2.0-13.3），第二产程延长（AOR = 4.6； 95％CI = 1.6-13.3），早产（AOR = 4.7； 95％CI = 1.5-14.1），胎粪染色的羊水（AOR = 7.5； 95％CI = 2.5-21.4）和密闭的鼻（AOR = 3.1； 95％CI = 1.2-9.3）。结论出生窒息在研究环境中仍然很普遍。获得的发现表明，年龄≥35岁的母亲为初生，早产，胎粪污染的羊水和紧缩的胎粪是与出生窒息有关的因素。这项研究的结果表明，需要更好的孕产妇保健，提高对产妇窒息对产妇保健专业人员的影响因素的认识，对产程进行仔细监测，确定并采取适当措施以减少出生时窒息的发生。