Predisposing Factors and Outcome of Malpresentations in an Institute

Maskey, Smrity; Dwa, Yam Prasad

doi:10.31729/jnma.3640

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…This is in line with the findings of a study done in Jimma Zone, Southwest Ethiopia (33) and Gamo Gofa, Ethiopia (26). This may be the case because malpresentation during pregnancy and labor increases the risk of birth hypoxia, birth trauma, and other complications and leads to obstructed and prolonged labor, which can result in neonatal morbidity and mortality (34).…”

Section: Discussionsupporting

confidence: 88%

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

Yasin,

Abdisa,

Roba

et al. 2024

Front. Pediatr.

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BackgroundNeonatal deaths are still a major leading cause of social and economic crises. Identifying neonatal near-miss events and identifying their predictors is crucial to developing comprehensive and pertinent strategies to alleviate neonatal morbidity and death. However, neither neonatal near-miss events nor their predictors were analyzed in the study area. Therefore, this study is aimed at assessing the predictors of neonatal near-misses among neonates born at Worabe Comprehensive Specialized Hospital, Southern Ethiopia, in 2021MethodsA hospital-based unmatched case-control study was conducted from 10 November 2021 to 30 November 2021. A pre-tested, structured, and standard abstraction checklist was used to collect the data. After checking the data for completeness and consistency, it was coded and entered into Epi-Data 3.1 and then exported to Stata version 14 for analysis. All independent variables with a p-value ≤0.25 in bivariable binary logistic regression were entered into a multivariable analysis to control the confounding. Variables with p-values <0.05 were considered statistically significant.ResultsIn this study, 134 neonatal near-miss cases and 268 controls were involved. The identified predictors of neonatal near-misses were rural residence [adjusted odds ratio (AOR): 2.01; 95% confidence interval (CI): 1.31–5.84], no antenatal care (ANC) follow-up visits (AOR: 2.98; 95% CI: 1.77–5.56), antepartum hemorrhage (AOR: 2.12; 95% CI: 1.18–4.07), premature rupture of the membrane (AOR: 2.55; 95% CI: 1.54–5.67), and non-vertex fetal presentation (AOR: 3.05; 95% CI: 1.93–5.42).ConclusionThe current study identified rural residents, no ANC visits, antepartum hemorrhage, premature rupture of membrane, and non-vertex fetal presentation as being significantly associated with neonatal near-miss cases. As a result, local health planners and healthcare practitioners must collaborate in enhancing maternal healthcare services, focusing specifically on the early identification of issues and appropriate treatment.

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Section: Discussionsupporting

confidence: 88%

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

Yasin,

Abdisa,

Roba

et al. 2024

Front. Pediatr.

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“…Similarly, the study conducted in Gamo Gofa, Ethiopia, found non-vertex fetal presentation was the determinant factor of NNM [ 23 ]. This might be since malpresentation during pregnancy and labor has a high risk of birth asphyxia, birth trauma, and other complications and also lead to obstructed and prolonged labor which can result in different complications to the newborn [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…malpresentation during pregnancy and labor has a high risk of birth asphyxia, birth trauma, and other complications and also lead to obstructed and prolonged labor which can result in different complications to the newborn [30]. Obstetric complications during labor and delivery were also showed a significant association with NNM.…”

Section: Plos Onementioning

confidence: 96%

The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study

et al. 2021

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Background Neonates with severe complications at birth or during the neonatal period who nearly died but survived constitute neonatal near miss (NNM) cases. Identifying NNM cases and correcting contributing factors are of the utmost importance to get relevant controls for neonatal deaths. However, limited studies are assessing the prevalence of NNM and associated factors with NNM cases in Ethiopia. So, this study is aimed at assessing the magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma zone, southwest Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 260 neonates from April 1–30 / 2020. Face to face interviewer-administered structured questionnaire was used to collect data from the mothers and a standard checklist was used for their neonates. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. Independent variables with marginal associations (p-value <0.25) in the bivariable analysis were eligible for multivariable logistic regression analysis to detect an association with outcome variables. Finally, adjusted odds ratios (AOR) with 95% CI were used to estimate the strength of associations, and statistical significance was declared at a p-value < 0.05. Result The magnitude of NNM was 26.7% with [95%CI: 21.6–32.5]. Hypertension during pregnancy [AOR: 3.4; 95%CI: 1.32–8.88], mode of delivery [AOR: 3.32; 95%CI: 1.48–7.45], Obstructed labor [AOR: 2.95; 95%CI: 1.32–6.45] and non-vertex fetal presentation during delivery [AOR: 4.61; 95%CI: 2.16–9.84] were identified as significantly predictors of NNM. Conclusion and recommendation Over a quarter of the neonates were with NNM cases, which is relatively higher than the report of studies done in other countries. Hypertension during pregnancy, cesarean delivery, prolonged labor, and non-vertex fetal presentation were all found to increase the likelihood of NNM. Therefore, concerted efforts are needed from local health planners and health care providers to improve maternal health care services especially in early identification of the complications and taking appropriate management.

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“…Those studies found that neonates who had a non-vertex presentation were more likely to become near miss as compared to vertex presentation. This might be due to a high risk of birth asphyxia, trauma, and other complications caused by malpresentation during pregnancy ( 45 ). Malpresentation may lead to obstructed and prolonged labor, which can result in NNM through different complications to the newborn ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

“…This might be due to a high risk of birth asphyxia, trauma, and other complications caused by malpresentation during pregnancy ( 45 ). Malpresentation may lead to obstructed and prolonged labor, which can result in NNM through different complications to the newborn ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

Debele

Zenu

Tsegaye

et al. 2022

Front. Public Health

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BackgroundThe neonatal period is the time with the highest risk of neonatal and infant mortality. The COVID-19 pandemic diverted resources from routine maternal health services, which raises the possibility of neonatal near misses (NNMs). To implement prompt treatments that could improve the standard of infant care and lower neonatal mortality, it has been theorized that pinpointing the determinants of NNM during this outbreak is crucial. In light of this, the current study identified the determinants of NNM in neonates delivered in public hospitals of Ilu Abba Bor Zone, South West Ethiopia.MethodsAn institution-based unmatched case–control study was conducted among randomly selected 303 (101 cases and 202 controls) neonates admitted to Mettu Karl Comprehensive Specialized Hospital (MKCSH) and Darimu Primary Hospital (DPH) from 1 November to 28 December 2020. Data were collected using interviewer-administered structured questionnaire and checklist. The collected data were coded and entered into Epi-Data version 4.6 and then exported to SPSS version 20 for analysis. Adjusted odds ratios (AOR) along with a 95% confidence interval was used to assess the strength of the association, and a p-value < 0.05 was considered to declare the statistical significance in the multivariable logistic regression analysis.ResultA total of 303 (101 cases and 202 controls) neonates admitted to MKCSH and DPH were included in the study making a 97.4% response rate. In the multivariable logistic regression analysis, no formal maternal education [AOR = 3.534, 95% CI: (1.194–10.455)], Breech presentation during birth [AOR = 3.088, 95% CI: (1.029–9.268)], < 4 antenatal care (ANC) visits [AOR = 1.920, 95% CI: (1.065–3.461], cesarean section delivery [AOR = 4.347, 95% CI: (1.718–10.996)], antepartum hemorrhage (APH) [AOR = 3.37, 95% CI: (1.23–9.24)], and hypertensive disorders of pregnancy (HDP) [AOR = 4.05, 95% CI: (2.36–11.05)] were independent determinants of NNM.ConclusionThe study's result revealed that factors such as education level, birth presentation, ANC visit, mode of delivery, APH, and HDP continued to be important determinants of the NNM in Ethiopia during this pandemic. Therefore, much work is needed to improve neonatal health by providing adequate ANC services and other identified potential determinant factors that predispose the newborn to life-threatening (near-miss) conditions especially during this pandemic.

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Predisposing Factors and Outcome of Malpresentations in an Institute

Cited by 4 publications

References 9 publications

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

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