Tola MA, Semahegn A, Tiruye G, Tura AK. Magnitude of neonatal near miss in public hospitals in Eastern Ethiopia: A cross-sectional study.
SAGE Open Med 2022;
10:20503121221108926. [PMID:
35837571 PMCID:
PMC9274431 DOI:
10.1177/20503121221108926]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 06/06/2022] [Indexed: 11/15/2022] Open
Abstract
Objectives:
Although neonatal near miss is an emerging concept and a tool for improving
neonatal care, its magnitude and associated factors are less researched in
Ethiopia. Thus, this study was aimed to uncover the magnitude of neonatal
near miss and its associated factors in public hospitals in Eastern
Ethiopia.
Methods:
A facility-based cross-sectional study was employed on a randomly selected
405 mother–neonate pairs. An interview using a structured questionnaire
accompanied by review of medical records was used to collect data from the
mothers and records of the neonates. Neonatal near miss was defined as
having any of the pragmatic (gestational age < 33 weeks, birth
weight < 1750 g, and fifth minutes Apgar score < 7) or management
criteria. Crude and adjusted logistic regression analysis was done to
identify associated factors and presented with adjusted odds ratio with 95%
confidence interval.
Results:
Of 401 mother–neonate pairs included in the study, 126 (31.4%, 95% confidence
interval = [26.9, 36.2]) neonates had at least one neonatal near miss event
at discharge. Neonatal near miss was more likely among neonates from
referred women (adjusted odds ratio = 2.24, 95% confidence interval = [1.25,
4.03]), no antenatal care (adjusted odds ratio = 2.08, 95% confidence
interval = [1.10, 3.93]), antepartum hemorrhage (adjusted odds ratio = 4.29,
95% confidence interval = [2.16, 8.53]), premature rupture of membrane
(adjusted odds ratio = 4.07, 95% confidence interval = [2.05, 8.07]),
obstructed labor (adjusted odds ratio = 2.61, 95% confidence interval =
[1.23, 5.52]), non-vertex presentation (adjusted odds ratio = 3.03, 95%
confidence interval = [1.54, 5.95]), and primiparous (adjusted odd
ratio = 2.67, 95% confidence interval = [1.49, 4.77]).
Conclusions:
In this study, we found that neonatal near miss is higher than previous
findings in Ethiopia. Improving neonatal near miss requires promoting
antenatal care, maternal referral system, and early identification and
management of obstetric complications.
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