Delays in obstetric care increase the risk of neonatal near-miss morbidity events and death: a case-control study

Abstract Background To scale up a comprehensive way of implementation to reduce neonatal mortality evaluation of factors for neonatal near-miss cases is very important. Certain studies were done in assessing near-miss cases, but they failed in identifying the proximate factors affecting profoundly. So, this study is to fill those gaps in the aforementioned studies, in assessing the factors affecting neonatal near-miss cases. Methods A nested case-control study was conducted in selected three Hospitals of Gamo and Gofa Zones, Southern Ethiopia from April 5, 2018, to March 5, 2019. The structured standard tool was used to identify neonatal near-miss cases. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A conditional logistic regression model was used to identify factors associated with near-miss cases. The goodness of fit was tested by a log-likelihood ratio (LR). In this study P-value < 0.05 was considered to declare a result as a statistically significant association. Results In this study 121 neonatal near-miss cases, and 363 controls were involved. The identified factors that affect neonatal near-miss were multiparty (AOR = 3.81, 95%CI: 1.72, 8.42), antenatal care follow up (AOR = 0.02, 95%CI: 0.01, 0.05), premature rupture of membrane (AOR = 3.40, 95%CI: 1.53, 7.55), non-vertex presentation (AOR = 2.83, 95%CI: 1.44, 5.58), and cesarean delivery (AOR = 4.89, 95%CI: 2.34, 10.24). Conclusions Those identified factors are better should be intervened. Strengthening antenatal care services by providing appropriate information for the mother and counseling about the consequences of multiparty and providing information on family planning. There is a need to identify, screen and critical follow high-risk mothers and give immediate and appropriate intervention as early as possible.

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Will outlining neonatal near miss events make a change? A hospital based case control study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194520 ◽

2019 ◽

Vol 6 (10) ◽

pp. 4570

Author(s):

Nittal H. Ninama ◽

Bhavesh D. Shroff

Keyword(s):

Pregnant Women ◽

Case Control Study ◽

Study Groups ◽

Case Control ◽

Near Miss ◽

Sudden Infant ◽

Live Births ◽

Definition Of ◽

Control Study ◽

Neonatal Near Miss

Background: In paediatrics and neonatology, the term ‘‘near miss’’ is mostly used in the situation of adverse events during patient care. Another common use of the term is in the perspective of Sudden infant death syndrome (SIDS). No accepted definition of NNM in this setting currently exists. The definition of Neonatal near miss (NNM) used differently, can aid in assessing and improving obstetric and paediatrics practice in different settings. By identifying those neonates that escaped being apprehended as a death statistic, deficiencies in the services rendered to pregnant women may be addressed and this may lead to further improvement in care.1Methods: The unmatched case control study was conceded in Neonatal intensive care unit (NICU) at Rukamani Chainani Hospital Vadodara. Newborns admitted in NICU, having any one of criteria like birth weight less than 1500, gestational age less than 30 weeks and Apgar score less than 7 at 5 minutes, were defined as Near miss in this study.Results: Neonatal mortality rate was 22 per 1000 live births during study period, whereas neonatal near-miss rate was 87.6 per 1000 live births. In study groups average duration of stay in NICU was 10 days for neonates.Conclusions: There must be a scoring system or calculation of infant mortality index events into the system to identify near miss events which help for the restructuring and improvement of care for pregnant women and newborns.

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Determinant Factors of Neonatal Near Miss Among Neonates in Gurage Zone Hospitals, Ethiopia: A Case-Control Study

Pediatric Health Medicine and Therapeutics ◽

10.2147/phmt.s302363 ◽

2021 ◽

Vol Volume 12 ◽

pp. 129-139

Author(s):

Haimanot Abebe ◽

Abebaw Wasie ◽

Alex Yeshaneh ◽

Solomon Shitu ◽

Ayenew Mose ◽

...

Keyword(s):

Case Control Study ◽

Case Control ◽

Near Miss ◽

Determinant Factors ◽

Control Study ◽

Neonatal Near Miss

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A Case-Control Study on the Predictors of Neonatal Near-Miss: Implications for Public Health Policy and Practice

Neonatal Medicine ◽

10.5385/nm.2021.28.3.124 ◽

2021 ◽

Vol 28 (3) ◽

pp. 124-132

Author(s):

Avita Rose Johnson ◽

Sobin Sunny ◽

Ramola Nikitha ◽

Sulekha Thimmaiah ◽

Suman P. N. Rao

Keyword(s):

Public Health ◽

Public Health Policy ◽

Case Control Study ◽

Case Control ◽

Near Miss ◽

Policy And Practice ◽

Health Policy And Practice ◽

Control Study ◽

Neonatal Near Miss ◽

In Pregnancy

Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city.Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro’s pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI).Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02).Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

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Pregnancies with an Outcome of Fetal Death Present More Delays in Obstetric Care: A Case-Control Study

SSRN Electronic Journal ◽

10.2139/ssrn.3234855 ◽

2018 ◽

Author(s):

Marley Martins ◽

Flávio Ibiapina ◽

Antonio Júnior ◽

Luciano Correia ◽

Rodolfo Pacagnella ◽

...

Keyword(s):

Fetal Death ◽

Case Control Study ◽

Obstetric Care ◽

Case Control ◽

Control Study

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Distant and proximate factors associated with maternal near-miss: a nested case-control study in selected public hospitals of Addis Ababa, Ethiopia

BMC Women s Health ◽

10.1186/s12905-018-0519-y ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 2

Author(s):

Ewnetu Firdawek Liyew ◽

Alemayehu Worku Yalew ◽

Mesganaw Fantahun Afework ◽

Birgitta Essén

Keyword(s):

Case Control Study ◽

Addis Ababa ◽

Case Control ◽

Public Hospitals ◽

Near Miss ◽

Maternal Near Miss ◽

Factors Associated ◽

Proximate Factors ◽

Nested Case Control ◽

Control Study

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Determining the sensitivity of sitting height in predicting cephalo pelvic disproportion in Eritrea

Tropical Doctor ◽

10.1258/004947505774938521 ◽

2005 ◽

Vol 35 (4) ◽

pp. 204-206 ◽

Cited By ~ 1

Author(s):

B Sebhatu

Keyword(s):

Case Control Study ◽

Emergency Obstetric Care ◽

Obstetric Care ◽

Maternity Hospital ◽

Case Control ◽

Caesarian Section ◽

Sitting Height ◽

Skilled Attendance ◽

Control Study ◽

Prospective Case Control Study

To determine the sensitivity of sitting height in predicting cephalo pelvic disproportion (CPD), a prospective case-control study was conducted. A total of 724 primiparas who delivered in Mekane Hiwot Maternity Hospital, Asmara, Eritrea were studied. Primiparas who delivered by caesarian section because of CPD were taken as cases (221), and primiparas who delivered vaginally were taken as controls (503). Height was measured for all, while sitting and while standing. The sensitivity of sitting height in predicting CPD was 34.1% (95% confidence interval [CI] = 27.7-40.3%), while that of the standing height was 33.5% (95% CI = 27.1-39.84). CPD cannot be predicted accurately by height in general and by sitting height in particular. Therefore, in order to avoid obstetric complications, all pregnant women should have access to skilled attendance during delivery and access to facilities with emergency obstetric care when needed.

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Determinants of maternal near miss events: a facility based case-control study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193497 ◽

2019 ◽

Vol 6 (8) ◽

pp. 3614

Author(s):

Mahesh D. Kurugodiyavar ◽

Kashavva B. Andanigoudar ◽

Dattatreya D. Bant ◽

Manjunath S. Nekar

Keyword(s):

Case Control Study ◽

Care Delivery ◽

Healthcare Services ◽

Case Control ◽

Near Miss ◽

Maternal Near Miss ◽

Maternal Deaths ◽

Danger Signs ◽

Postnatal Women ◽

Control Study

Background: Worldwide, approximately 830 women died every single day due to complications during pregnancy or childbirth in 2015. Many researchers revealed that the quality of health care delivery in a system can be identified by studies on maternal deaths. In recent years, women who survived the critical events during pregnancy and childbirth, called as maternal near miss cases, are explored as an adjunct to maternal death inquiries, as these cases occur more frequently than maternal deaths and can identify problems that had to be overcome for the provision of better healthcare services. This study aims at evaluating determinants of such maternal near miss events among postnatal women admitted in KIMS Hospital, Hubli.Methods: A case-control study was done on postnatal women admitted in the KIMS Hospital. A structured pre-tested questionnaire was administered to 82 participants (27 cases and 55 controls). Information about biodata, sociodemographic characteristics, medical illnesses, previous pregnancies and the current pregnancy with its outcomes and complications was collected.Results: Most women were satisfying the criterion for admission to ICU followed by hypertensive complications and severe anemia, to be considered as cases. The study showed height, type of family, religion, presence of danger signs during pregnancy as significant determinants of maternal near miss events.Conclusions: The factors showing significance in our study are non-modifiable risk factors of maternal near miss events. With early identification of such cases and appropriate antenatal care, such events can be prevented and reduced.

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