Neonatal near miss and associated factors among neonates delivered at public hospitals, Addis Ababa Ethiopia: a retrospective cross-sectional study.
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Date
2021-06
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Addis Abeba University
Abstract
Introduction: Neonatal Near Misses are newborns that had serious complications at birth or
during the neonatal phase but survived. To get relevant controls for neonatal deaths, it is critical
to identify Neonatal Near Miss cases and correct contributing factors. However, there are few
studies in Ethiopia that look at the prevalence of Neonatal Near Misses and the factors that
caused them.
Objective: To determine the prevalence of Neonatal Near Miss and associated factors at Addis
Ababa City Administration Public Hospitals, Ethiopia, 2021. Methods: A facility based
retrospective cross-sectional study was conducted among 367 neonates from January first, 20
20 up to December 31,2020. Four selected hospitals. A pretested structured checklist was used
to collect the data. The neonatal and maternal medical charts were chosen using a systematic
random sampling technique. To obtain relevant data, the neonatal and maternal charts were
reviewed and telephone interviews were done with the mothers as well. Bivariate and
multivariate logistic regression modeling were fitted to identify factors associated with neonatal
near miss. An adjusted odd ratio (AOR) with 95% confidence interval (CI) was computed to
determine the level of significance. Results: The prevalence of Neonatal Near Miss was 25.6%
with (95% CI 21.0-30.5). Merchant (AOR 0.123, 95% CI 0.018 - 0.859), previous history of
preterm birth (AOR 11.828, 95% CI 1.856 - 75.398), caesarian section delivery (2.391 AOR,
95% CI 1.229 - 4.652), Hypertension (AOR 2.674, 95% CI 1.343 - 5.324), Infection (AOR
3.706, 95% CI 1.375 - 9.988), delivered on duty time (AOR 2.304, 95% CI 1.263 - 4.203), Birth
injury (AOR 4.759, 95% CI 1.711 - 13.241), and Congenital anomaly (AOR 8.925, 95% CI
2.580 - 30.873) were significantly associated with NNM.
Conclusion: The percentage of Neonatal Near Misses in the study setting was found to be lower
when compare to local studies. The opposite is true when it comes to findings from international
studies. The majority of near-miss determinants are modifiable/preventable obstetric and healthcare
utilization-related
factors.
Hence,
stakeholders
need
to
consider
the
aforementioned
factors
while
they
design
interventions.
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Keywords
Neonatal Near Miss