Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

Kale, Pauline Lorena; Mello-Jorge, Maria Helena Prado de; Silva, Kátia Silveira da; Fonseca, Sandra Costa

doi:10.1590/0102-311x00179115

Cited by 63 publications

(149 citation statements)

References 32 publications

(39 reference statements)

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“…As indicated in this study, hemorrhage, and non-vertex presentation was a determinate factor for neonatal mortality. This was in line with studies done in Southeast Brazil, South Africa, Uganda, and two studies in Ethiopia [10,11,14,22,23]. The reason for this is that those stated conditions are the ones or in another way can affect the neonate during intra-uterine as well as extrauterine life and predispose to life-threatening even for loss of life during the neonatal period.…”

Section: Discussionsupporting

confidence: 88%

Neonatal Mortality and Its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

Mersha

Bante

Shibiru

2019

Preprint

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Background: The neonatal period is the most vulnerable time for child survival. The declines in the neonatal mortality rate have been slower than the post-neonatal under-five mortality rate in the majority of countries. This trend is also similar in Ethiopia, that neonatal mortality was high as compared to the post-neonatal mortality rate. A large proportion of neonatal deaths occur during the 48 hours after delivery. Different studies were conducted in assessing determinates for neonatal mortality but there is a need to assess the immediate postnatal (within two days following delivery) cause of neonatal mortality that the majority of deaths occurred at that time. So, this study is to fill those gaps of the aforementioned studies, in assessing the determinate factors affecting neonatal mortality in public hospitals of Gamo and Gofa Zones, Southern Ethiopia. Methods: A prospective follow up study was conducted among 6,986 study participants from April 5, 2018, to March 5, 2019. All live births at the hospitals during the study period were included in this study. Data on causes of neonatal death were collected by using a structured verbal autopsy questionnaire. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. Crude and adjusted estimate β with 95%CI was calculated in the binary logistic regression model. The goodness of fit was tested by a log-likelihood ratio (LR). In this study P-value < 0.05 was considered to declare a result as a statistically significant association. Results: In this study, neonatal mortality incidence ratio was 9.6 (95%CI: 7.5, 12.2) per 1000 live births. Age of the mother, number of antenatal care, hemorrhage, sex of the neonate, presentation, gestational age and birth weight were identified as the significant determinates for neonatal mortality. Prematurity, infection, and birth asphyxia were the most common causes of neonatal mortality cases. Conclusions: This study indicated that a significant number of neonates died during the neonatal period. Both maternal and neonatal factors were identified. Therefore, early identification of obstetric complications and immediate interventions, strengthening the provision of quality antenatal and postnatal care services are recommended. Keywords: Neonatal Mortality; Neonatal Deaths

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Section: Discussionsupporting

confidence: 88%

Neonatal Mortality and Its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

Mersha

Bante

Shibiru

2019

Preprint

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“…Primiparous was statistically associated with neonatal near miss, increased 2 times the odds of NNM as compared to grand multiparous [AOR: 2.06, 95%CI:(1.06-3.98)]. This result is in line with studies in Northeastern Brazil and Southeast Brazil [10,14].This might be due to the fact that primiparous were high risk for malposition, malpresentation, prolonged labour, increased induction of labour , obstructed labor/cephalo-pelvic disproportion.…”

Section: Discussionsupporting

confidence: 85%

“…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: 65%

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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“…This result is in line with the studies in Northeastern Brazil and Southeast Brazil. 7,18 This also might be due to the fact that primiparous mothers were high-risk for malposition, malpresentation, prolonged labor, increased induction of labor, and obstructed labor/cephalo-pelvic disproportion.…”

Section: Discussionmentioning

confidence: 99%

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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Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

Abstract: (OR = 1.9; hemorrhage (OR = 2.2; hypertension (OR = 3.0; syphilis (OR = 3.3; lack of prenatal care (OR = 5.6;, cesarean section and hospital, were associated with near miss; while hemorrhage (OR = 4.6; 95%CI: 1,, lack of prenatal care (OR = 17.4;

Cited by 63 publications

References 32 publications

Neonatal Mortality and Its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

Neonatal Mortality and Its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

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

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