Neonatal near miss and associated factors among neonates delivered at public hospitals, Addis Ababa Ethiopia: a retrospective cross-sectional study.

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Addis Abeba University


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.



Neonatal Near Miss