AYEBARE Elizabeth (Ms) | Birth Asphyxia in Northern Uganda: associated factors, intrapartum care practices and the predictive value of umbilical artery lactate

AYEBARE Elizabeth investigated birth asphyxia in Northern Uganda with a focus on the associated fac- tors, practices during labour and childbirth and the predictive value of umbilical artery lactate. The prevalence of birth asphyxia was high at 5.3%. She found that birth asphyxia was more likely to occur if the newbornâ€TMs mother was an adolescent or unemployed. Other factors included; referral, a raised maternal white blood count, syphilis infection and complications of la- bour and childbirth. Foetal heart rate monitoring which is one of the pre- vention strategies for birth asphyxia was found to be sub-optimal. Chal- lenges such as: lack of equipment/ supplies, poor referral systems and staff shortages were seen to affect the management of birth asphyxia. Furthermore, a low-cost point of care lactate test was found to be a good predictor of adverse newborn outcomes. The study findings will inform development of strategies for prevention and management of birth asphyxia. The study was fund- ed by SIDA and Einhorn Foundation; and was supervised by Prof. Grace Ndeezi, Assoc. Prof. Claudia Han- son, Dr. Jolly Nankunda, Assoc. Prof. Anna Hjelmstedt, and Assoc. Prof. Wibke Jonas.