Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study
| Autor: | Tesfalidet Tekelab, Roger Smith, Catherine Chojenta, Deborah Loxton |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Reproductive medicine Near Miss Healthcare Near miss lcsh:Gynecology and obstetrics Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Severe maternal complication Pregnancy Risk Factors Neonatal deaths Medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study lcsh:RG1-991 Perinatal Mortality 030219 obstetrics & reproductive medicine business.industry Obstetrics Incidence (epidemiology) Medical record Incidence Neonatal near miss Infant Newborn Obstetrics and Gynecology Prenatal Care Odds ratio Stillbirth Confidence interval Pregnancy Complications Family planning Income Female Ethiopia business Live Birth Research Article |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-13 (2020) |
| ISSN: | 1471-2393 |
| Popis: | Background For every neonate who dies, many others experience a near miss event that could have but did not result in death. Neonatal near miss is three to eight times more frequent than neonatal deaths and, therefore, is more useful for assessing the determinants of adverse neonatal outcomes. The aim of this study was to assess the incidence and determinants of neonatal near miss in south Ethiopia. Methods A facility-based prospective study was conducted among 2704 neonates between 12 July to 26 November 2018. The neonates were followed from the time of admission to hospital discharge or seven postpartum days if the newborn stayed in the hospital. The data were collected by interviewer-administered questionnaire and medical record review. Logistic regression was employed to identify the distant, intermediate and proximal factors associated with neonatal near miss. The independent variables were analysed in three hierarchical blocks. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were used to determine the strength of the associations. Results The incidences of neonatal near miss and neonatal death were 45.1 (95% CI = 37.7–53.8) and 17.4 (95% CI = 13.0–23.3) per 1000 live births, respectively. Of those newborns who experienced neonatal near miss, more than half (59.8%) of their mothers were referred from other health facilities. After adjusting for potential confounders, the odds of neonatal near miss were significantly higher among neonates with a low monthly income ( Conclusion Strategies to improve neonatal survival need a multifaceted approach that includes socio-economic and health-related factors. The findings of this study highlight important implications for policymakers with regard to neonatal near miss. In particular, addressing inequalities by increasing women’s income, promoting an optimal birth interval of 24 months or above through postpartum family planning, and preventing maternal complications may improve newborn survival. |
| Databáze: | OpenAIRE |
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