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Term infant asphyxia in Kuwait.

A al-Alfy¹, J E Carroll, L V Devarajan

¹Maternity Hospital, Kuwait.

Annals of Tropical Paediatrics

|January 1, 1990

Summary

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Newborn asphyxia in Kuwait affects 9.4/1000 infants, with significant links to first-time mothers and difficult labor. Further obstetric analysis is recommended to reduce infant morbidity and mortality.

Area of Science:

Neonatal health
Perinatal medicine
Public health in developing nations

Background:

Birth asphyxia poses a significant risk to newborns globally.
Understanding risk factors is crucial for preventing neonatal complications.
Kuwait, a developing nation, provides a unique setting to study perinatal outcomes.

Purpose of the Study:

To investigate the incidence and risk factors of birth asphyxia in term infants in Kuwait.
To identify associations between asphyxia and various maternal and delivery characteristics.
To inform strategies for reducing neonatal morbidity and mortality.

Main Methods:

A case-control study design was employed.
Consecutive term infants born in Kuwait were included (n=43).

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Data on maternal and delivery factors were collected and analyzed for associations with asphyxia.

Main Results:

The incidence of birth asphyxia was 9.4 per 1000 live births.
Significant risk factors included primiparity, maternal hypertension, consanguinity, prolonged labor, and instrumental delivery.
Maternal age, socio-economic status, other maternal illnesses, and breech presentation were not significant factors.

Conclusions:

Birth asphyxia incidence in Kuwait is comparable to developed countries.
Specific obstetric factors are strongly associated with neonatal asphyxia.
Further analysis of obstetric practices is warranted to improve infant outcomes.