The Prevalence of Neonatal Near Misses in Rabat, Morocco.

Autor:	Chafik K; Research Team on Health and Nutrition of Mother and Child, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR., Aslaou F; Research Team on Health and Nutrition of Mother and Child, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR., Barich F; Research, Higher Institute of Nursing Professions and Health Techniques, Rabat, MAR., Laamiri FZ; Laboratory of Health Sciences and Technology, Hassan First University of Settat, Higher Institute of Health Sciences of Settat, Settat, MAR., El Ouardighi I; Research Team on Health and Nutrition of Mother and Child, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR., Barkat A; Research Team on Health and Nutrition of Mother and Child, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Feb 01; Vol. 15 (2), pp. e34486. Date of Electronic Publication: 2023 Feb 01 (Print Publication: 2023).
DOI:	10.7759/cureus.34486
Abstrakt:	Background: The concept of near-miss neonatal (NMN) is a potentially useful approach in assessing the quality of newborn care. However, data collected on the status of NMN cases in Morocco is scarce. Objective: The objective of this study is to determine the prevalence of NMN cases among live births at the University Hospital of Rabat, Morocco. Materials and Methods: An observational cross-sectional study was conducted on 2676 newborns born at the University Hospital of Rabat, Morocco, and admitted to the National Reference Center of Neonatology and Nutrition (NRCN) from January 1 to December 31, 2021. The main inclusion criteria were the pragmatic and/or management markers of the definition of NMN. Data were extracted using a structured, pre-tested checklist, entered into EpiData, and exported to Statistical Software for the Social Sciences (SPSS) version 23 (IBM Corp., Armonk, NY), and descriptive statistics were performed. Results: Among the 2676 selected live births, 2367 were NMN cases (88.5%; 95% CI: 88.3-90.7). More than half of new mothers (57.5%) were referrals, 59.9% of women were multiparous, and 78.5% had under four prenatal care consultations. Obstetric problems affected 373 of the women during pregnancy. A pragmatic criterion was met in 43.6% of NMN situations. Among the management criteria, the use of intravenous antibiotics was the most common factor at 56.0%. Conclusions: This study revealed a high prevalence of NMN. Therefore, concerted efforts are needed to improve maternal health care services, including early identification of complications and appropriate management. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Chafik et al.)
Databáze:	MEDLINE
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