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

Abstract

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 (NNM) 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 NNM cases, 202 (33.4%) (95% CI: 29.7–37.1%) was obtained at Hawassa City Government Hospitals. Respiratory distress 158 (94%) and infection or sepsis 138 (84%) were found to be the leading causes of NNM cases in our study. Governmental and non-governmental employed mother (AOR = 3.05, 95% CI: 1.46–6.44) and Cesarean Section delivery (AOR = 1.89, (95% CI: 1.25–2.83)) were positively significantly associated with neonatal near miss. Whereas, pregnancy induced Hypertension (AOR = 0.43, 95%CI: 0.27–0.69) was negatively associated with neonatal near miss. Conclusion This study revealed relatively high prevalence of NNM 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.

Determinants of neonatal near miss among neonates admitted to public hospitals in Southern Ethiopia, 2021: A case-control study

“…Mode of delivery via cesarean section showed a significant association with NNM. This was in line with studies conducted in Brazil [13,24,32], South Africa [55], and Ethiopia [34,56].…”

Factors associated with neonatal near miss among neonates admitted to public hospitals in dire Dawa administration, Eastern Ethiopia: A case-control study

“…In the current study, maternal occupation, non-governmental and private employment was significantly associated with a neonatal near miss. This is in line with the study conducted in Hawasa city [ 21 ]. This might be due to the adverse effects of occupational stress on fetal growth and development.…”

“…Mothers delivered through instrumental delivery were more likely to develop neonatal near-misses than spontaneous vaginal delivery. This finding was similar to studies conducted in different settings, in Brazil, Johannesburg, Southeast Brazil, Hawasa, northeast Brazil, Gamo and Gofa zones, Uganda, Ambo, Gurage Zone, Jima, Thailand, Morocco, and Ethiopia [10,12,18,[20][21][22][24][25][26][27][28][29][30]. This might be because most of the neonates indicated for instrumental delivery are due to abnormal labor progress, which affects the fetal outcomes, and maybe the professionals are not skilled enough, maybe the mothers are frightened by the indications that happen later in worse conditions for the fetuses.…”

Magnitude of neonatal near miss in public hospitals in Eastern Ethiopia: A cross-sectional study

“…8 However, the magnitude of NNM remained uncovered. [9][10][11][12][13] In addition, methodological limitations, such as non-random sampling 14,15 or use of secondary data, 16 may underestimate or overestimate NNM cases and made it difficult to generalize findings. In this study, we assessed the magnitude of NNM and its associated factors among neonates born in major public hospitals in Harari Region, Eastern Ethiopia.…”