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  • Carlos Boavida Tilman




Neonatal asphyxia, Maternal factors, fetal factors, factors of the work of the pair to and neonatal fatores, National Hospital Guido Valadares


Introduction: Perinatal asphyxia is considered one of the major causes of neonatal deaths and neurological sequelae in newborns, resulting from maternal-fetal conditions or complications during childbirth.  The report by the Guido Valadares de Dili National Hospital showed that 201 newborns died after birth and that 151 died at the age of 0-6 days and 8 died aged 7 to 28 days. 

Objective: To analyze the factors associated with the incidence of neonatal asphyxia at the Guido Valadares National Hospital.  

Method: Reconducted a descriptive and analytical study of quantitative approach, collecting a sample of 100 records of newborns of mothers with risk factors and used the Grid of Observation on Register of the midwife and the doctor.  

Results: As maternal risk factors, 61% of mothers have parity higher than four children, and maternal pathologies in the sample include Hypertension 37%, Preeclampsia/Eclampsia 25%, Anemia 25% and Diabetes 13%. Regarding Hypertension, with mild degree 63%, and severe 38%; Preeclampsia/severe eclampsia 60% and mild 40%; in the degree of Mild Anemia (7 to 9 g/dl) 88%, and severe (<7g/dl 12%; Type I Diabetes is 54% and Gestational Diabetes 46%; finally, premature membrane rupture is found in 51% of the sample.  As for fetal risk factors for neonatal asphyxia, polyhidrosis 30%, Man Condon 13%, Infection 31%, Weight <1500 grams 13%, Inadequate weight for gestational age28%.  In the risk factors associated with delivery, we verified Forceps Delivery 13%, Prolapse of the cord 9% and Short Umbilical Cord 8%.  In the evaluation of APGAR indices at the 1 minute verified or severe in 48 newborns 62% and mild 39%; at 5a minute, the APGAR Index was grave at 59% and 41%, lastly, it was found that in the APGAR index at 10 minutes, then Gave classification decreased 4%, and leve or moderate 7%. At 10 minutes 89% of the sample.  

Conclusion: Hospitals, health centers and SISCa   should promote the four minimum visits for pregnant women, in order to create a program of activities, such as home visits to define the rich factors of mothers. Pregnant women need to deliver with midwives and mothers in a controlled and safe environment to reduce the neonatal and post-neonatal mortality rate.


WHO, (2019). Conduct in Newborn Problems. Nurses and Midwives, Department of Reproductive Health and Research. Geneva: a Guide to (Doctors. Monica Translation of Queiroz Tells Saponi Neves),- ISBN-13:978-85-7241-618-4:São Paulo: ROCA. http://www.who.int

Moreira, (2015). The high-risk newborn: theory and practice of care. Rio de Janeiro: Fiocruz.

Orhan (2010). Nursing in the health of women, mothers and newborns: lifelong care. Porto Alegre.

WHO (2015). Eclampsia-Education for a Safe Maternity: modules of education. Brazil, 2nd edition.

Joseph, A. (2012). Statistics of CPLP, INE, IP. Lisbon, Portugal.

Ministry of Health (2019). Book Assistance Safe Childbirth, East Timor.

Ministry of Health. (2018). Health Statistics Report, Health Information System Office, East Timor.

Ministry of Health. (2016 to 2017). Health Statistics Report, Health Information System Office, East Timor.

Guido Valadares National Hospital. (2019). Maternal and Child Health Statistics Report. Dili East Timor.

UNICEF, (2011). Safe Childbirth Care Learning Book. Ministry of Health, East Timor.

Gonzalez, (2010). Perinatal asphyxiation. Pediatric Nursing Practice.

Zanonia, (2014). Perinatal Asphyxia Chapter of the book Assistance to the Newborn at Risk, edited by Paulo R. Marlite: 2nd and 4th Edition

Sandra and Pires. (2012)., Perinatal Asphyxia and Maternal Behavior, Psychological Analysis., 3 (XX): 439-448.

Souza, M.F. (2013). Factors associated with perinatal asphyxia: a population study based on the Live Birth Information System. Rio de Janeiro, RJ: IFF/ FOC. Brazil.

Cushion, (2015). Asphyxia intervention in Newborn for Midwife. The Documents of the Ministry of Health.

Marotta and Rezende, (2017), Prevalence of perinatal asphyxia. Rio de Janeiro. Cad. Public Health, v. 17, 2015.

Lowdermilk Perry, (2016). Maternity nursing. Sedate Edition, copyright @ 2016 2013, by Mosby Inc. Editor: Catherine Jackson. ISBN-13:978-323-03366-4.

UNICEF, (2015). Book Assistance in Neonatal Nursing.Adaptationin Timor-Leste: Module I, II, III and IV, Ministry of Health, East Timor,

Tilman C.B et al. (2020). The Perception of Population and Health Professionals regarding the National immunization Program of Timor-Leste. Health Systems and Policy Research, ISSN 2254-9137 Vol.7 No.1:2 2020. www.imedpub.com published date May 11, 2020.

Lath E., et al (2011), Apgar test scores difference between children born of normal delivery and cesarean delivery. Art. Unipara Health Sciences, 5(3): 211

Canal, A. (2014). Factors associated with perinatal asphyxia. Rio Janeiro (Rio J), RBCO v.26, n.10.

Baraco, A. (2014). Prevention of evidence-based preeclampsia. Rio de Janeiro, 28(3) Id: 521744.

Montenegro E, (2016). Gestational pretension. Guide to Effective Care in Pregnancy and Childbirth. Rio de Janeiro, 2015, 3rd edition, Guanabara Kagan.

Faraz ani S. (2010). Hypertension. Pregnant women. Saudis J Kinder Transpolar 2009; 10:298-312.

Sousa, P, (2017). Study of maternal risk factors associated with neonatal sepsis early in Brazilian Amazon Hospital. Online version ISSN 1806-9339. Rev. Gingerol Bras. Octeto. Vol.29.no.8 Rio de Janeiro Aug.2007. http: dx.doi.org/10.1590/S0100-7203200700080002.

Nascimento L. e Ramos, (2014). Application of the CRIB score as a predictor of death in a neonatal intensive care unit: an expanded approach. Mater Health. Infant, 4(2):151-7.

Pinhel, S. (2018)., Prevalece of Perinatal Asfixia, Hospital Municipal São Lucas, 2017. Revista Saúde Coletiva, n.2.




How to Cite

Carlos Boavida Tilman. (2022). FACTORS ASSOCIATED WITH THE INCIDENCE OF NEONATAL ASPHYXIA IN NEWBORNS AT THE GUIDO VALADARES NATIONAL HOSPITAL DILI TIMOR-LESTE. American Journal of Medical and Clinical Research & Reviews, 1(2), 1–13. https://doi.org/10.58372/2835-6276.1013




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