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 orduring the neonatal phase but survived. To get relevant controls for neonatal deaths, it is criticalto identify Neonatal Near Miss cases and correct contributing factors. However, there are fewstudies in Ethiopia that look at the prevalence of Neonatal Near Misses and the factors thatcaused them.
Objective: To determine the prevalence of Neonatal Near Miss and associated factors at AddisAbaba City Administration Public Hospitals, Ethiopia, 2021. Methods: A facility basedretrospective cross-sectional study was conducted among 367 neonates from January first, 2020 up to December 31,2020. Four selected hospitals. A pretested structured checklist was usedto collect the data. The neonatal and maternal medical charts were chosen using asystematicrandom sampling technique. To obtain relevant data, the neonatal and maternal charts werereviewed and telephone interviews were done with the mothers as well. Bimultivariate logistic regression modeling were fitted to identify factors associated with neonatalnear miss. An adjusted odd ratio (AOR) with 95% confidence interval (CI) was computed todetermine 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 ofpreterm 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 (AOR3.706, 95% CI 1.375 - 9.988), delivered on duty time (AOR 2.304, 95% CI 1.263 - 4.203), Birthinjury (AOR 4.759, 95% CI 1.711 - 13.241), and Congenital anomaly (AOR 8.925, 95% CI2.580 - 30.873) were significantly associated with NNM.
Conclusion: The percentage of Neonatal Near Misses in the study setting was found to be lowerwhen compare to local studies. The opposite is true when it comes to findings from internationalstudies. The majority of near-miss determinants are modifiable/preventable obstetric and healthcareutilization-relatedfactors.Hence,stakeholdersneedtoconsidertheaforementionedfactorswhiletheydesigninterventions.
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Neonatal Near Miss