scholarly journals Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

2020 ◽  
Vol 000 (000) ◽  
pp. 1-8
Author(s):  
Habtamu Gebrehana Belay ◽  
Simachew Kassa Limenih ◽  
Toyiba Hiyaru Wassie ◽  
Minale Bezie Ambie
Keyword(s):  
General Hospital ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Near Miss ◽  
Awi Zone ◽  
Neonatal Near Miss

scholarly journals Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Habtamu Gebrehana Belay ◽  
Simachew Kassa Limenih ◽  
Toyiba Hiyaru Wassie ◽  
Minale Bezie Ambie
Keyword(s):  
General Hospital ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Northwest Ethiopia ◽  
Near Miss ◽  
Life Threatening ◽  
Awi Zone ◽  
Heart Rate Pattern ◽  
Neonatal Near Miss

Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Strength referral linkage and efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality.

scholarly journals Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Habtamu Gebrehana Belay ◽  
Simachew Kasaa Limenih ◽  
Toyiba Hiyaru Wassie ◽  
Minale Bezie Ambie
Keyword(s):  
General Hospital ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Northwest Ethiopia ◽  
Near Miss ◽  
Life Threatening ◽  
Awi Zone ◽  
Heart Rate Pattern ◽  
Neonatal Near Miss

Abstract Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . Keywords: Neonatal Near Miss, Proportion, Awi Zone, Ethiopia

scholarly journals Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Habtamu Gebrehana Belay ◽  
Simachew Kassa Limenih ◽  
Toyiba Hiyaru Wassie ◽  
Minale Bezie Ambie
Keyword(s):  
General Hospital ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Northwest Ethiopia ◽  
Near Miss ◽  
Life Threatening ◽  
Awi Zone ◽  
Heart Rate Pattern ◽  
Neonatal Near Miss

Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . Keywords: Neonatal Near Miss, Proportion, Awi Zone, Ethiopia

scholarly journals Associated factors with neonatal near miss in twin pregnancies in a public referral maternity unit in Brazil

2021 ◽  
Vol 22 (1) ◽  
pp. 12-21
Author(s):  
Fernanda Nogueira Barbosa Lopes ◽  
Ana Paula Mendes Gouveia ◽  
Ocília Maria Costa Carvalho ◽  
Antônio Brazil Viana Júnior ◽  
Álvaro Jorge Madeiro Leite ◽  
...  
Keyword(s):  
Associated Factors ◽  
Near Miss ◽  
Maternity Unit ◽  
Twin Pregnancies ◽  
Neonatal Near Miss

scholarly journals Neonatal near Miss and Its Predictors among Neonates Delivered at Debretabor General Hospital, Northern Ethiopia; A Retrospective Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Habtamu Abie Tassew ◽  
Fisseha Yetwale Kassie ◽  
Muhabaw Shumye Mihret
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
General Hospital ◽  
Neonatal Mortality ◽  
Logistic Regression Model ◽  
Near Miss ◽  
Sub Saharan Africa ◽  
Northern Ethiopia ◽  
Mortality Reduction ◽  
Neonatal Near Miss

Background. In many low-resource countries, the progress of neonatal mortality reduction is very slow. The scenario is notably true in sub-Saharan Africa including Ethiopia. For every neonatal death, there are lots of near missed neonates. Generating evidences on the extent and predictors of neonatal near miss is a key step in neonatal mortality reduction efforts. However, there is limited evidence in this aspect in Ethiopia. Objective. This study is aimed at assessing the proportion of neonatal near miss and associated factors among neonates delivered at Debretabor General Hospital, Northern Ethiopia, 2019. Methods. An institution-based cross-sectional study was conducted on 422 neonates delivered at Debretabor General Hospital from July 1st, 2018, to June 30th, 2019. Both pragmatic and management criteria of definition of neonatal near miss were utilized. A systematic random sampling technique was used to select the cards of the study participants. Data were extracted with structured and pretested checklist, entered in the EpiData, and then exported to SPSS version 20. Both descriptive and analytical procedures have been done. Descriptive statistics such as frequencies and cross tabulations were carried out. The binary logistic regression model was fitted and variables with p value < 0.20 were entered in the multivariable logistic regression model. Both crude and adjusted odds ratios with the corresponding 95% CI were computed. The level of significance has been claimed based on the adjusted odds ratio with 95% CI and its p value of ≤0.05. Results. The proportion of neonates experiencing near miss was obtained to be 32.2% with 95% CI (28, 36). Rural residence (AOR=4.41; 95% CI: 2.57,7.55), incomplete ANC visit (AOR=3.16; 95% CI: 1.90,5.25), primiparous (AOR=2.55; 95% CI: 1.59,4.12), pregnancy-induced hypertension (AOR=3.23; 95% CI: 1.19,8.78), premature rupture of membrane (AOR=4.65; 95% CI: 1.70,12,73), cephalic-pelvic disproportion (AOR=3.05; 95% CI: 1.32,7.01), and antepartum hemorrhage (AOR=4.95; 95% CI: 1.89,12.96) were the independent predictors of neonatal near-miss. Conclusion and Recommendations. The proportion of neonatal near miss was found to be high in the study setting. Most of the determinants of near miss are modifiable obstetric-related factors. Hence, stakeholders need to consider the aforesaid factors while they design interventions.

scholarly journals Level of glycemic control and its associated factors among type II diabetic patients in debre tabor general hospital, northwest Ethiopia

2020 ◽  
Vol 8 ◽  
pp. 100056
Author(s):  
Alemayehu Digssie Gebermariam ◽  
Sofonyas Abebaw Tiruneh ◽  
Asnakew Achaw Ayele ◽  
Henok Getachew Tegegn ◽  
Belete Achamyelew Ayele ◽  
...  
Keyword(s):  
Glycemic Control ◽  
General Hospital ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Diabetic Patients ◽  
Type Ii ◽  
Debre Tabor

scholarly journals A populational based study on the prevalence of neonatal near miss in a city located in the South of Brazil: prevalence and associated factors

2017 ◽  
Vol 17 (1) ◽  
pp. 159-167 ◽  
Author(s):  
Guilherme Alberto Silva ◽  
Karin Alana Rosa ◽  
Elizabeth Schirin Farahani Saguier ◽  
Elisa Henning ◽  
Fatima Mucha ◽  
...  
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Odds Ratios ◽  
Cross Sectional ◽  
Live Births ◽  
South Of Brazil ◽  
The City ◽  
Neonatal Near Miss

Abstract Objectives: to identify the prevalence of neonatal near miss morbidity in the city of Joinville, SC and the associated factors. Methods: a populational based cross-sectional study including all live births in 2012 registered at SINASC. The near miss cases were identified based on the weight <1500g, Apgar scores at 5th minute <7, gestational age <32 weeks, use of mechanical ventilation or presence of congenital malformation. The gross odds ratios (OR) and its respective 95% confidence intervals (95% CI) were calculated and the logistic regression was performed to obtain the adjusted odds ratios and its respective 95% CI. Results: the prevalence of near miss was 33 per thousand live births (95% CI: 29-37). In the final model, a risk classification of live births according to the City Program (Programa Municipal) (ORaj= 19.7; 95% CI: 14.2 to 27.2), cesarean section (ORaj= 2.1; 95% CI:1.5 to 2.8) and public hospital (ORaj= 1.7; 95% CI: 1.2 to 2.3) remained associated to morbidity near miss. Conclusions: near miss morbidity was 7.3 times higher than neonatal mortality. To know its determinants in different national contexts may include some changes in the focus of public health actions by redirecting to preventive interventions.

scholarly journals Neonatal Near Misses and Associated Factors Among Mother's Who Give a Live Neonate at Hawassa City Governmental Hospitals, 2019. A Facility Based Cross-Sectional Study Design

2020 ◽  
Author(s):  
Anteneh Tekola Fikrie ◽  
Genet Ake Baye ◽  
Elias Hadona Amaje ◽  
Kebede Tefera
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Pregnancy Induced Hypertension ◽  
Sectional Study ◽  
Cross Sectional ◽  
Near Misses ◽  
High Prevalence ◽  
Induced Hypertension ◽  
Neonatal Near Miss

Abstract Background: Neonatal near miss is a neonate who nearly died but survived from a severe complication occurred during pregnancy, birth or within 0-28 days of extra-uterine life. However, there is no available data that quantifies the magnitude of neonatal near miss in Ethiopia where there is high prevalence of neonatal mortality. Therefore, this study is designed to provide information about the magnitude and associated factors of neonatal near miss among women who give a live birth at Hawassa City Governmental hospitals, 2019. Methods: A facility based cross-sectional study design was conducted on 604 mothers who gave live neonates at Adare General Hospital and Hawassa University Comprehensive and Specialized Hospital from May 9, 2019 to June 7, 2019. Face to face interviewer administered structured questionnaire with a supplementation of maternal and neonatal medical records with checklists were used to collect the data. Data were coded and entered in to Epi data version 3.1 and then exported to the Statistical Package for Social Science IBM version 25 for analysis. Descriptive statistics was run and the data were presented using frequency tables and figure. The bi-variable and multivariable logistic regression was used to identify the possible factors of neonatal near miss. Finally, Adjusted Odds Ratio and 95% Confidence Intervals were used to declare statsticall significance. Result Among all 604 selected live births an overall proportion of Neonatal Near Misses (NNM) cases, 202 (33.4 %;) (95% CI: 29.7%-37.1%) was obtained. Respiratory distress 158 (94%) and infection or sepsis 138 (84%) were found to be the leading causes of NNM cases in our study. Employed (AOR = 3.05, 95% CI: 1.46- 6.44), Pregnancy induced Hypertension (AOR = 0.43, 95%CI: 0.27-0.69) and Cesarean Section (AOR=0.49; 95%CI: 0.33-0.71) were significantly associated with neonatal near miss. Conclusion: This study revealed relatively high prevalence of neonatal near miss in the study areas. Employed women, pregnancy induced hypertension and cesarean section mode of delivery were found to be independent factors affecting the prevalence of NNM cases. Therefore, HUCSH and Adare general Hospitals should focus on proving quality antenatal care and prevention of occupational related problems among pregnant women.

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