Óbitos fetais e neonatais de filhos de pacientes classificadas com near miss

Nardello, Daniele Marin; Guimarães, Alzira Maria D'avila Nery; Barreto, Íkaro Daniel de Carvalho; Gurgel, Ricardo Queiróz; Ribeiro, Eleonora Ramos De Oliveira; Góis, Cristiane Franca Lisboa

doi:10.1590/0034-7167-2016-0405

Cited by 13 publications

(24 citation statements)

References 21 publications

(41 reference statements)

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“…A supporting study in Indonesia revealed that survival of newborns from mothers without severe complications was better than that of newborns from mothers with obstetric complications, and studies in Brazil also revealed that maternal near miss were strongly associated with prematurity, neonatal asphyxia, and early respiratory discomfort. 24,25 This finding is also supported by studies from the Jimma University Specialized Hospital and the Dessie Referral Hospital, which showed that obstetric complications during current pregnancy and complications during labor and delivery were strongly associated with adverse birth outcomes (low birth weight, preterm birth, low APGAR score, and still birth). [26][27][28] Referral linkage was found to be significantly associated with NNM in this study, increasing the odds of NNM by three-times compared to mothers who were not referred.…”

Section: Discussionsupporting

confidence: 54%

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Belay¹,

Limenih²,

Wassie³

et al. 2020

Exploratory Research and Hypothesis in Medicine

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Background and objectives: There are many newborns who suffer a life-threatening complication in many lowresource countries. Neonatal near miss has been proposed as a tool to evaluate and improve the quality of neonatal care. However, there has been 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 neonates delivered at

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Section: Discussionsupporting

confidence: 54%

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Belay¹,

Limenih²,

Wassie³

et al. 2020

Exploratory Research and Hypothesis in Medicine

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“…In the first study performed in 2013, the authors found high frequencies of fetal and neonatal deaths among MNM cases, and the main factors associated with outcomes were severe pre-eclampsia, placental abruption, prematurity and endometritis; there was also an association between laboratory criteria and adverse outcomes [7]. These results were corroborated by a second study that was performed in 2017 [8]. …”

Section: Discussionmentioning

confidence: 87%

“…Two studies investigated the relationship between MNM and adverse perinatal outcomes (fetal and neonatal deaths) [7, 8]. In the first study performed in 2013, the authors found high frequencies of fetal and neonatal deaths among MNM cases, and the main factors associated with outcomes were severe pre-eclampsia, placental abruption, prematurity and endometritis; there was also an association between laboratory criteria and adverse outcomes [7].…”

Section: Discussionmentioning

confidence: 99%

“…Two studies have described the impact of maternal near miss (MNM) on fetal and neonatal mortality and associated factors and concluded that fetal and neonatal death rates are high among MNM patients [7, 8]. It would seem logical for MNM to be strongly associated with NNM because their determinants – socioeconomic variables, demographic variables, reproductive history, health conditions during pregnancy, prenatal care and labor care – might be associated.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

Lima

Katz

Kassar

et al. 2018

BMC Pregnancy Childbirth

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BackgroundTo investigate the associations of maternal variables – sociodemographic, obstetrical and maternal near miss (MNM) variables – with neonatal near miss (NNM) using the new concept of NNM formulated by the Centro Latino-Americano de Perinatologia (CLAP) and the corresponding health indicators for NNM.MethodsAn analytical prospective cohort study was performed at maternity hospital for high-risk pregnancy in Northeastern Brazil. Puerperal women whose newborn infants met the selection criteria were subjected to interviews involving pretested questionnaires.Statistical analysis was performed with the Epi Info 3.5.1 program using the Chi square test and Fisher’s exact test when appropriate, with a level of significance of 5%. A bivariate analysis was performed to evaluate differences between the groups. All the variables evaluated in the bivariate analysis were subsequently included in the multivariate analysis. For stepwise logistic regression analysis, a hierarchical model was plotted to assess variable responses and adverse outcomes associated with MNM and NNM variables.ResultsThere were 1002 live births (LB) from June 2015 through May 2016, corresponding to 723 newborn infants (72.2%) without any neonatal adverse outcomes, 221 (22%) NNM cases, 44 (4.4%) early neonatal deaths and 14 (1.4%) late neonatal deaths. The incidence of NNM was 220/1000 LB. Following multivariate analysis, the factors that remained significantly associated with increased risk of NNM were fewer than 6 prenatal care visits (odds ratio (OR): 3.57; 95% confidence interval (CI): 2.57–4.94) and fetal malformations (OR: 8.78; 95% CI: 3.69–20.90). Maternal age older than 35 years (OR: 0.43; 95% CI: 0.23–0.83) and previous cesarean section (OR: 0.45; 95% CI: 0.29–0.68) protected against NNM.ConclusionBased on the large differences between the NNM and neonatal mortality rates found in the present study and the fact that NNM seems to be a preventable precursor of neonatal death, we suggest that all cases of NNM should be audited. Inadequate prenatal care and fetal malformations increased the risk of NNM, while older maternal age and a history of a previous cesarean section were protective factors.

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“…Majority of neonatal deaths are preventable and to reduce these deaths; invest in maternal and neonatal care during childbirth and in the rst 24 h after birth [1,2]. Severe infection, LBW and birth asphyxia were the most common causes of NNM in the health facilities [2,[14][15][16]. Similarly, in Ethiopia, 2015 government report revealed that Preterm birth complications 22%, intra-partum related events 32%, infection 20% and congenital abnormalities 12% were among the leading causes of neonatal death [2,17,18].…”

mentioning

confidence: 99%

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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Óbitos fetais e neonatais de filhos de pacientes classificadas com near miss

Cited by 13 publications

References 21 publications

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

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

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