Status of the Management of Perinatal Asphyxia in Newborns Born in the Neonatal Units of Three Area Hospitals in the Department of Borgou in 2019

Introduction: there were no studies conducted on perinatal asphyxia in peripheral hospitals in the Borgou department. The objective of this work was to study perinatal asphyxia in the Borgou area hospitals. Patients and methods: this was a multicenter, descriptive cross-sectional study, whose data collection was done from May 1, 2019 to July 31, 2019 in three area hospitals: the Sounon Sero Hospital in Nikki, the Evangelical Hospital in Bembèrèrkè and the Saint Jean de Dieu Hospital in Boko. Results: Three hundred and fifty (350) newborns were included in the study. The frequency of the PNA was 49.71%. The sex ratio was 1.31. The mean age at admission was 45 minutes. Newborns were in-born in 91.71%. According to the Sarnat classification, 55.17% were classified as grade I; 32.19% grade II and 12.64% grade III. They had received magnesium sulphate (16.57%), phenobarbital (37.71%), oxygen (54.29%) as treatment. The average stay was 03 days. Factors that were significantly associated with APN were parity (primiparity p = 0.002 OR 2.37 [1.38 - 4.04]), number of ANCs (˂4) p = 0.005 OR 2.54 [1.32 - 4.86] and mode of delivery (vaginal obstructed p = 0.009 OR 2.39 [1.23 - 4.61]). Conclusion: perinatal asphyxia is a reality in the peripheral hospitals of Borgou.