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Quality of evidence ended up being examined by the pertinent of the Joanna Briggs Institute tool. RevMan v5.3 analytical software had been utilized to carry out the meta-analysis using a Mantel-Haenszel random-effects model. Heterogeneity was assessed making use of the Cochran Q test, and I2 statistics ended up being thought to evaluate its level. The results was calculated using a 95% confidence interval (CI). Outcomes The pooled prevalence of birth asphyxia was 22.8% (95% CI 13-36.8%]. I