The Relationship between APGAR Score and Delivery Mode with Neonatal Sepsis in Ulin Regional Hospital Banjarmasin

Authors

  • Monica Anggriana Salim General Practitioner Ulin Hospital Banjarmasin
  • Pricilia Gunawan Halim Pediatrician Division of Neonatology Department of Pediatrics Ulin Hospital Banjarmasin
  • Ari Yunanto Neonatology Consultant Division of Neonatology Department of Pediatrics Ulin Hospital Banjarmasin
  • Pudji Andayani Neonatology Consultant Division of Neonatology Department of Pediatrics Ulin Hospital Banjarmasin

DOI:

https://doi.org/10.21776/ub.jkb.2023.032.04.4

Keywords:

APGAR score, delivery mode, neonatal sepsis

Abstract

Neonatal sepsis is one of the most common causes of neonatal death worldwide, affecting up to 3 million neonates each year. Deaths related to neonatal sepsis are more common in developing countries with lower middle incomes. This study aims to find a relationship between APGAR scores at the 1st, 5th, and 10th minutes and delivery mode on the incidence of neonatal sepsis. This research is a retrospective study with a cross-sectional approach at High-Risk Neonatal Installation (INRiT) of Ulin Regional Hospital Banjarmasin, South Kalimantan, conducted from January to December 2022. The total sample was 200 babies divided into the sepsis and the control group. APGAR score data at the 1st, 5th, and 10th minutes and delivery mode were taken through medical records. In this study, the average APGAR score at 1st minute in the sepsis group was 5.11; at 5th minute was 6.56; and at 10th minute was 7.65. The results of APGAR score analysis at the 1st, 5th, and 10th minutes in the sepsis and control groups using the Mann -Whitney test obtained a p-value of 0.000. In the sepsis group, 30 babies were born spontaneously, and 70 babies were born with tools (caesarean section/vacuum extraction). The results of the delivery mode analysis in the sepsis and control groups using Fisher's test obtained a p-value of 0.000 (OR: 3.807) which means that there is a relationship between the APGAR score at the 1st, 5th, and 10th minutes and the delivery mode with the incidence of neonatal sepsis.

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References

The Gobal Antibiotic Research and Development Partnership. Transforming the Care of Babies with Sepsis. (Online) 2022. https://gardp.org/wp-content/uploads/2022/10/GARDP-Neonatal-sepsis-study-results-2022.pdf

Vizcarra-Jiménez D, Copaja-Corzo C, Hueda-Zavaleta M, et al. Predictors of Death in Patients with Neonatal Sepsis in a Peruvian Hospital. Tropical Medicine and Infectious Disease. 2022; 7(11): 1-18.

World Health Organization. Newborns: Improving Survival and Well Being. (Online) 2020. https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality [accessed 2022 March 11].

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2020. Jakarta: Kemenkes RI; 2021; p. 1–480.

Wilar R and Lestari H. Risk Factors and Clinical Outcomes of Neonatal Sepsis in Manado Tertiary Referral Hospital: A Single-Center Study. Open Access Macedonian Journal of Medical Sciences. 2022; 10: 93–98.

Noah FN, Doya LJ, and Jouni O. Perinatal Risk Factors and Early Onset of Neonatal Sepsis. International Journal of Pediatric Research. 2022; 8(1): 1-5.

Yismaw AE, Abebil TY, Biweta MA, and Araya BM. Proportion of Neonatal Sepsis and Determinant Factors among Neonates Admitted in University of Gondar Comprehensive Specialized Hospital Neonatal Intensive Care Unit Northwest Ethiopia 2017. BMC Research Notes. 2019; 12(1): 1-5.

Hikmah EN. Hubungan Persalinan dengan Tindakan Sectio Caesarea dengan Kejadian Infeksi Neonatorum di RSUD Kabupaten Bima Tahun 2016 (Studi di Wilayah Kerja RSUD Kabupaten Bima Provinsi NTB). Jurnal Kebidanan dan Kesehatan Akbid Surya Mandiri Bima. 2018; 5(2): 22-26.

Nyenga A, Mukuku O, and Wembonyama S. Neonatal Sepsis: A Review of the Literature. Journal of Pediatrics & Child Health Care. 2021; 6(2): 1–6.

Tewabe T, Mohammed S, Tilahun Y, et al. Clinical Outcome and Risk Factors of Neonatal Sepsis among Neonates in Felege Hiwot Referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: A Retrospective Chart Review. BMC Research Notes. 2017; 10: 1-7.

Angele MK, Pratschke S, Hubbard WJ, and Chaudry IH. Gender Differences in Sepsis: Cardiovascular and Immunological Aspects. Virulence. 2014; 5(1): 12–19.

Dirirsa DE, Degefa BD, and Gonfa AD. Determinants of Neonatal Sepsis among Neonates Delivered in Southwest Ethiopia 2018: A Case-Control Study. SAGE Open Medicine. 2021; 9: 1-9.

Belachew A and Tewabe T. Neonatal Sepsis and Its Association with Birth Weight and Gestational Age among Admitted Neonates in Ethiopia: Systematic Review and Meta-Analysis. BMC Pediatrics. 2020; 20(1): 1-7.

Simon LV, Hashmi MF, and Bragg BN. APGAR Score. (Online) 2022. https:/www.ncbi.nlm.nih.gov/ books/NBK470569/#_NBK470569_pubdet [accessed 2022 June 14].

Njie AE, Nyandiko WM, Ahoya PA, and Moutchia JS. A Comparative Analysis of APGAR Score and the Gold Standard in the Diagnosis of Birth Asphyxia at a Tertiary Health Facility in Kenya. PLoS One. 2023; 18(5): 1-13.

Lidya M, Fetriyah UH, Rahmayani D, and Ariani M. The Relationship between Apgar Score and Gender with the Incidence of Neonatal Sepsis: Systematic Review. International Journal of Community Medicine and Public Health. 2021; 8(11): 5473-5480.

Akalu TY, Gebremichael B, Desta KW, Aynalem YA, Shiferaw WS, and Alamneh YM. Predictors of Neonatal Sepsis in Public Referral Hospitals, Northwest Ethiopia: A Case Control Study. PLoS One. 2020; 15(6): 1-12.

Coelho GDP, Ayres LFA, Barreto DS, Henriques BD, Prado MRMC, and Passos CMD. Acquisition of Microbiota According to the Type of Birth: An Integrative Review. Revista Latino-Americana de Enfermagem. 2021; 29: 1–11.

Miller JE, Goldacre R, Moore HC, et al. Mode of Birth and Risk of Infection-Related Hospitalisation in Childhood: A Population Cohort Study of 7.17 Million Births from 4 High-Income Countries. PLoS Medicine. 2020; 17(11): 1-19.

Araújo BC and Guimarães H. Risk Factors for Neonatal Sepsis: An Overview. Journal of Pediatric and Neonatal Individualized Medicine. 2020; 9(2):1–15.

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Published

2023-08-31

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Section

Research Article