Abordagem do near miss neonatal no 2005 WHO Global Survey Brazil

Pileggi, Cynthia; Souza, João Paulo; Cecatti, José Guilherme; Faúndes, Aníbal

doi:10.1590/s0021-75572010000100005

Cited by 8 publications

(11 citation statements)

References 8 publications

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“…In parallel, a need for well-evidenced criteria for the diagnosis of neonatal near miss (NNM) cases emerged, and a definition of NNM based on consensus was proposed [4]. Current literature defines NNM as a newborn that presented severe complications during the first 28 postnatal days but survived this period despite the severity of its condition [5]. The Pan American Health Organization Neonatal Near Miss Working Group (PAHO) proposed a set of criteria to define NNM based on similar studies [6].…”

Section: Introductionmentioning

confidence: 99%

Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus

Morais

Patz

Campanharo

et al. 2019

Obstetrics and Gynecology International

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Objective. To investigate the frequency of neonatal near miss (NNM) and associate it with maternal morbidity in newborns of women with type 1 diabetes mellitus (T1DM). Methods. This was a cross-sectional retrospective study from a secondary analysis of data retrieved from medical records of pregnant women with T1DM cared at a Brazilian university hospital between 2005 and 2015. Maternal near miss (MNM) and potentially life-threatening conditions (PTLC) were classified according to the World Health Organization criteria. NNM was classified according to the Pan American Health Organization Neonatal Near Miss Working Group criteria. Association of maternal morbidity with NNM was assessed using chi-square test. Results. There were 122 newborns (NB) among 137 T1DM pregnancies. Thirty-seven NB presented NNM—incidence of 303 NNM per 1000 live births (37/122). NNM was associated with MNM (P<0.001, OR (95% CI): 17.15 (1.85–159.12)). PLTC did not increase the odds of NNM (P=0.07; OR (95% CI): 2.1281 (0.92–4.91)). Seven newborns died, six of them from pregnancies without severe maternal morbidity. 71% of the neonatal death (5/7) occurred in malformed neonates. Conclusion. MNM was associated with NNM among women with T1DM, and PLTC, paradoxically, did not increase NNM.

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Section: Introductionmentioning

confidence: 99%

Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus

Morais

Patz

Campanharo

et al. 2019

Obstetrics and Gynecology International

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“…Clinical-based criteria refer to an APGAR score of <7 at the fifth minute, absence of regular breathing, cardiac arrest, persistent bradycardia <80 beats per minute, visible jaundice in first 24 h of delivery, persistent tachycardia >200 beats per minute, birth weight <1,500 g, gestational age < 33 completed weeks (collectively known as pragmatic criteria), seizures, inability to suck within 12 h or inability to suck with six attempts without pause, apathy, poor tolerance to feeding within 12 h, abdominal distension, vomiting, and anuria >24 h. Laboratorybased criteria refer to any active non-traumatic bleeding, hematuria, septicemia, and encephalopathy. Managementbased criteria refer to any intubation, cardiopulmonary resuscitation, use of vasoactive drugs, blood transfusion (simple blood transfusion and exchange blood transfusion), use of anticonvulsants, phototherapy, and parenteral antibiotics (3)(4)(5).…”

Section: Measurementmentioning

confidence: 99%

“…The lack of consistent criteria used in categorizing and defining nearmiss challenges every country's response to reducing near misses. Currently, near-miss cases were identified using three criteria: clinical-based, laboratory-based, and managementbased criteria (4,5).…”

Section: Introductionmentioning

confidence: 99%

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Magnitude of NNM and associated factors among Newborns delivered at the North Shewa zone Public Health Hospital, Central Ethiopia: A multi-level analysis

Goyomsa¹,

Deriba²,

Wadejo³

et al. 2022

Front. Public Health

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BackgroundNeonatal near miss refers to a condition where a newborn is close to death within the first 28 days of life but ultimately survives either by chance or because of the quality of care they received. It is considered a major public health problem that contributes to the global burden of disease in less developing countries. For every death due to NMM, many others develop a severe complication. Despite this grim reality, there seems to be a gap in terms of the magnitude of and predictors of NNM in Ethiopia, where the previous study focused on neonatal death investigation. This study aimed to determine the magnitude of NNM and its determinants among the neonates delivered in the North Shewa zone, Central Ethiopia.MethodsA facility-based cross-sectional study was conducted using a systematic random sampling technique among 747 newly delivered babies in the North Shewa zone public hospital from January 30 to June 30, 2021. Neonatal near misses were identified with the help of the World Health Organization labeling criteria. Collected data were coded, entered, and cleaned by using Epi data 4.4.6 and analyzed using SPSS software (version 26) for analysis. Descriptive statistics were used to compute summary statistics and proportions. Variables at a cutoff value of 0.25 on bivariate and 0.05 on multivariate logistic regression were used to identify predictors.ResultThe prevalence of NNM was 35.3% (95% CI = 31.9–38.6) per 1,000 live births. Participant occupation [AOR: 0.55, CI: 0.33–0.90], marital status [AOR: 2.19; CI: 1.06–4.51], instrumental delivery [AOR: 1.98; CI: 1.10–3.55], intrapartum hemorrhage [AOR: 2.27; CI: 1.03–5.01], abortion history [AOR: 1.59; CI: 1.03–2.44], mal-presentation [AOR: 1.77; CI: 1.14–2.77], premature rupture of membrane [AOR: 2.36; CI: 1.59–3.51], and pregnancy-related infection [AOR: 1.99; CI: 1.14–3.46] were found to have statistically significant association.Conclusion and recommendationOne-third of neonates face serious neonatal health conditions. Given this, addressing modifiable obstetric risk factors through providing skilled and quality care to mothers during pregnancy and during and after childbirth was important for improving neonatal health. Additionally, strengthening antenatal care services to minimize the infection occurring during pregnancy through the provision of appropriate services and counseling about the consequences of abortion was essential in reversing the problem.

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“…La literatura científica que soporta el uso de este indicador data desde 2010, cuya propuesta fue hecha operativamente en Brasil por la Dra. Pileggi (2); sin embargo, el concepto existe desde el 2007, derivado de los esfuerzos por reducir la mortalidad neonatal (3,4). Se ha propuesto restringir la observación a los eventos dentro de la primera semana de vida, pero se ha mantenido la definición inicial por ser más inclusiva.…”

Section: Introductionunclassified

Morbilidad neonatal extrema y sus desenlaces en un hospital de alta complejidad en el 2013

Delgado-Beltrán

Beltrán-Avendaño

Pérez-Vera

2021

MedUNAB

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Introducción. La Morbilidad neonatal extrema se refiere a cualquier evento ocurrido en los primeros veintiocho días de vida con riesgo vital inminente. Es multifactorial, son relevantes los retrasos en la atención. En 2010 se describió por primera vez como indicador de salud pública en Brasil. Metodología. Estudio transversal en un hospital de alta complejidad en el año 2013. Se revisaron las características sociodemográficas y asistenciales, los eventos de morbilidad y sus desenlaces, el indicador mismo, la mortalidad neonatal y los retrasos en la atención (tipos I - IV). Resultados. Ingresaron 1,190 neonatos, se presentaron 120 casos y se analizaron los primeros 60 por saturación de datos. La tasa de morbilidad neonatal extrema fue de 59 por cada 1,000 nacidos vivos y la de mortalidad de 13.9, similares a las brasileñas y superiores a las nacionales (33 por cada 1,000). Los eventos más importantes con respecto a mortalidad fueron peso menor de 1,500 gramos, ventilación mecánica, Apgar menor de 7 a los 5 minutos y malformaciones congénitas. Los retrasos en las madres fueron predominantemente de tipo I (45.4%) por pobre control prenatal. El retraso neonatal más frecuente fue el tipo IV (40%), por mala adherencia a protocolos institucionales. Discusión. El indicador local fue mayor que el nacional por la complejidad institucional y los retrasos en la atención, los cuales causaron saturación estadística. Se puede mejorar con mayor adherencia a estrategias existentes como el control prenatal y protocolos institucionales. Conclusión. La Morbilidad neonatal extrema visibiliza las falencias en atención materno – neonatal.

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Abordagem do near miss neonatal no 2005 WHO Global Survey Brazil

Cited by 8 publications

References 8 publications

Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus

Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus

Magnitude of NNM and associated factors among Newborns delivered at the North Shewa zone Public Health Hospital, Central Ethiopia: A multi-level analysis

Morbilidad neonatal extrema y sus desenlaces en un hospital de alta complejidad en el 2013

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