A populational based study on the prevalence of neonatal near miss in a city located in the South of Brazil: prevalence and associated factors

Silva, Guilherme Alberto; Rosa, Karin Alana; Saguier, Elizabeth Schirin Farahani; Henning, Elisa; Mucha, Fátima; Franco, Selma Cristina

doi:10.1590/1806-93042017000100009

Cited by 30 publications

(53 citation statements)

References 23 publications

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“…According to this study, the odds of NNM cases were 49% reduced among mothers who gave birth through cesarean section as compared to mothers who gave birth through vaginal deliveries (AOR=0.52; 95% CI:0.34-0.78). This is in line with studies done in Brazil [3,4]. The reason for this is that cesarean section will be done to prevent or minimize the maternal or newborns related complications, which have the potential to result more NNM cases.…”

Section: Discussionsupporting

confidence: 83%

“…The result of this study is in line with similar other study conducted in Northeastern Brazil [12] and Uganda [16]. However, the nding of this study was inconsistent with similar studies conducted worldwide: low and middle income countries in Africa [20] and three similar studies in Brazil [3,5,14]. The observed high prevalence in this study might be due to the referral nature of the health institutions where an increased probability of attending more complicated cases from the catchment area and neighboring region.…”

Section: Discussionsupporting

confidence: 61%

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Neonatal Near Misses and Associated Factors Among Mother's Who Give a Live Neonate at Hawassa City Governmental Hospitals, 2019. A Facility Based Cross-Sectional Study Design

Fikrie

Baye

Amaje

et al. 2020

Preprint

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Background: Neonatal near miss is a neonate who nearly died but survived from a severe complication occurred during pregnancy, birth or within 0-28 days of extra-uterine life. However, there is no available data that quantifies the magnitude of neonatal near miss in Ethiopia where there is high prevalence of neonatal mortality. Therefore, this study is designed to provide information about the magnitude and associated factors of neonatal near miss among women who give a live birth at Hawassa City Governmental hospitals, 2019. Methods: A facility based cross-sectional study design was conducted on 604 mothers who gave live neonates at Adare General Hospital and Hawassa University Comprehensive and Specialized Hospital from May 9, 2019 to June 7, 2019. Face to face interviewer administered structured questionnaire with a supplementation of maternal and neonatal medical records with checklists were used to collect the data. Data were coded and entered in to Epi data version 3.1 and then exported to the Statistical Package for Social Science IBM version 25 for analysis. Descriptive statistics was run and the data were presented using frequency tables and figure. The bi-variable and multivariable logistic regression was used to identify the possible factors of neonatal near miss. Finally, Adjusted Odds Ratio and 95% Confidence Intervals were used to declare statsticall significance. Result Among all 604 selected live births an overall proportion of Neonatal Near Misses (NNM) cases, 202 (33.4 %;) (95% CI: 29.7%-37.1%) was obtained. Respiratory distress 158 (94%) and infection or sepsis 138 (84%) were found to be the leading causes of NNM cases in our study. Employed (AOR = 3.05, 95% CI: 1.46- 6.44), Pregnancy induced Hypertension (AOR = 0.43, 95%CI: 0.27-0.69) and Cesarean Section (AOR=0.49; 95%CI: 0.33-0.71) were significantly associated with neonatal near miss. Conclusion: This study revealed relatively high prevalence of neonatal near miss in the study areas. Employed women, pregnancy induced hypertension and cesarean section mode of delivery were found to be independent factors affecting the prevalence of NNM cases. Therefore, HUCSH and Adare general Hospitals should focus on proving quality antenatal care and prevention of occupational related problems among pregnant women.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 61%

Neonatal Near Misses and Associated Factors Among Mother's Who Give a Live Neonate at Hawassa City Governmental Hospitals, 2019. A Facility Based Cross-Sectional Study Design

Fikrie

Baye

Amaje

et al. 2020

Preprint

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“…In this study high proportion of neonatal near miss criteria were observed for mechanical ventilation (53.2%) , gestational age less than 37completed week (37.2 %), birth weight < 2.5kg (31%), 5 minute APGAR Score < 7 (22.3%) and use of parenteral antibiotics (25.5%).This is in line with study in a systemic review on neonatal near miss , Northeastern Brazil, Birth in Brazil survey and study in South of Brazil [2,8,10,13].…”

Section: Discussionsupporting

confidence: 78%

“…This finding is high as compared to study done in WHO multicounty survey 7.25%, Birth in Brazil survey 3.92%, study in South of Brazil 3.3%, and in Southeast Brazil 1.7% [8,9,13,14]. Variation of neonatal near miss rate in WHO multicounty survey and Southeast Brazil was might be due to methodological difference and used only pragmatic criteria and also study in Birth in Brazil and study in South of Brazil was used only 4 selection items from management and pragmatic criteria.…”

Section: Discussionmentioning

confidence: 66%

Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Belay

Limenih

Wassie

et al. 2019

Preprint

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Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive.Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). PrimiparousAdjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95), referral linkage AOR:3.23, 95%CI:(1.89-5.513), maternal perception of reduced fetal movementAOR:5.95, 95%CI:2.47-14.33, premature rupture of membrane AOR: 3.10, 95%CI: (1.27-5.59), prolonged labor AOR: 3.00, 95%CI:(1.28-7.06), obstructed labor/cephalo-pelvic disproportion AOR: 4.05; 95%CI: (1.55-10.57) and non-reassuring fetal heart rate pattern AOR: 3.75, 95%CI: (1.69-8.33) were significantly associated with neonatal near miss.Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . BackgroundNeonatal near miss is defined as a newborn who presented a severe complication in the first 28 days of life almost died but survived during the neonatal period [1,2].The near miss concept and indicators provide useful information to evaluate the quality of care and set priorities for further assessments and improvement of health care [1,3].Identification of neonatal near miss cases was based on two groups of criteria (pragmatic and management criteria). The pragmatic criteria; (Birthweight < 1750 g , Apgar score < 7 at 5 minutes and gestational age at birth < 33 complete weeks) and management criteria; ( parenteral antibiotic therapy up to 7 days and before 28 days of life,

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“…Proximal factors have greater statistical significance, when compared to distal and intermediate determinants, which may explain the stronger association of more proximal factors, such as low birth weight and prematurity, and absence of statistical significance of schooling and mother's race/skin color. 26 Cross-sectional studies that assessed determinants of neonatal near misses in Joinville, SC, 27 and in Teresina, PI, 28 also did not find statistically significant association between mother's race/skin color or marital status and infant death.…”

Section: Discussionmentioning

confidence: 95%

Magnitude e determinantes da mortalidade neonatal e pós-neonatal em Goiânia, Goiás: um estudo de coorte retrospectivo, 2012

Saloio

Neto

Gonçalves

et al. 2020

Epidemiol. Serv. Saúde

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Resumo Objetivo: Estimar a magnitude e determinantes da mortalidade infantil neonatal e pós-neonatal em Goiânia, Brasil, em 2012. Métodos: Estudo de coorte retrospectiva, utilizando relacionamento entre o Sistema de Informações sobre Nascidos Vivos e o Sistema de Informações sobre Mortalidade. Aplicou-se regressão logística para avaliar os fatores associados ao óbito neonatal e pós-neonatal. Resultados: A mortalidade neonatal (0-27 dias de vida) foi de 9,4; e a pós-neonatal (28-364 dias de vida), de 3,0 óbitos/1 mil nascidos vivos. Os fatores associados à mortalidade neonatal foram: 0-3 consultas de pré-natal (OR=13,10 – IC95% 7,48;22,96); gestações de 19-34 semanas (OR=6,25 – IC95% 2,26;17,29); peso ao nascer <1.500g (OR=62,42 – IC95%22,72;171,48); e parto cesáreo (OR=0,54 – IC95% 0,37;0,79). Associaram-se à mortalidade no período pós-neonatal: 0-3 consultas de pré-natal (OR=4,16 – IC95% 1,51;11,43); e peso ao nascer <1.500g (OR=18,74 – IC95% 4,04;87,00). Conclusão: Baixo número de consultas, prematuridade e baixo peso foram os principais fatores de risco da mortalidade neonatal e pós-neonatal.

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A populational based study on the prevalence of neonatal near miss in a city located in the South of Brazil: prevalence and associated factors

Cited by 30 publications

References 23 publications

Neonatal Near Misses and Associated Factors Among Mother's Who Give a Live Neonate at Hawassa City Governmental Hospitals, 2019. A Facility Based Cross-Sectional Study Design

Neonatal Near Misses and Associated Factors Among Mother's Who Give a Live Neonate at Hawassa City Governmental Hospitals, 2019. A Facility Based Cross-Sectional Study Design

Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Magnitude e determinantes da mortalidade neonatal e pós-neonatal em Goiânia, Goiás: um estudo de coorte retrospectivo, 2012

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