DETERMINANATS OF BIRTH ASPHYXIA AND ITS MANAGEMENT AMONG NEONATES ADMITTED TO NEONATAL CARE UNIT AT KISUMU COUNTY HOSPITAL REFERRAL, KISUMU COUNTY
Abstract
Birth asphyxia remains a significant cause of neonatal morbidity and mortality globally, with a notable burden in Kenya. This study aimed to identify the determinants of birth asphyxia in term babies in KCH, Kenya and explore effective management strategies. A comprehensive review of literature was conducted, focusing on epidemiology studies, risk factors, and management protocols for birth asphyxia. Determinants such as prolonged labor, maternal infections, inadequate prenatal care, and limited access to skilled birth attendance were identified as contributing factors. Effective management strategies include prompt resuscitation at birth, maintaining thermoregulation and early detection and treatment of associated complications such as hypoxic-ischemic encephalopathy. Additionally, community-based interventions targeting prenatal education and improving access to quality maternal healthcare services were essential in reducing the incidence of birth asphyxia in Kenya.