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

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.

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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

10.21203/rs.3.rs-70854/v1 ◽

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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The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0251609 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251609

Author(s):

Merertu Wondimu ◽

Fikadu Balcha ◽

Girma Bacha ◽

Aklilu Habte

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Public Hospitals ◽

Near Miss ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Jimma Zone ◽

Neonatal Near Miss

Background Neonates with severe complications at birth or during the neonatal period who nearly died but survived constitute neonatal near miss (NNM) cases. Identifying NNM cases and correcting contributing factors are of the utmost importance to get relevant controls for neonatal deaths. However, limited studies are assessing the prevalence of NNM and associated factors with NNM cases in Ethiopia. So, this study is aimed at assessing the magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma zone, southwest Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 260 neonates from April 1–30 / 2020. Face to face interviewer-administered structured questionnaire was used to collect data from the mothers and a standard checklist was used for their neonates. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. Independent variables with marginal associations (p-value <0.25) in the bivariable analysis were eligible for multivariable logistic regression analysis to detect an association with outcome variables. Finally, adjusted odds ratios (AOR) with 95% CI were used to estimate the strength of associations, and statistical significance was declared at a p-value < 0.05. Result The magnitude of NNM was 26.7% with [95%CI: 21.6–32.5]. Hypertension during pregnancy [AOR: 3.4; 95%CI: 1.32–8.88], mode of delivery [AOR: 3.32; 95%CI: 1.48–7.45], Obstructed labor [AOR: 2.95; 95%CI: 1.32–6.45] and non-vertex fetal presentation during delivery [AOR: 4.61; 95%CI: 2.16–9.84] were identified as significantly predictors of NNM. Conclusion and recommendation Over a quarter of the neonates were with NNM cases, which is relatively higher than the report of studies done in other countries. Hypertension during pregnancy, cesarean delivery, prolonged labor, and non-vertex fetal presentation were all found to increase the likelihood of NNM. Therefore, concerted efforts are needed from local health planners and health care providers to improve maternal health care services especially in early identification of the complications and taking appropriate management.

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Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03894-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rajbanshi Sushma ◽

Mohd Noor Norhayati ◽

Nik Hussain Nik Hazlina

Keyword(s):

Associated Factors ◽

Newborn Infants ◽

Newborn Care ◽

Cross Sectional Study ◽

Near Miss ◽

Infant Mortality Rate ◽

Sectional Study ◽

Cross Sectional ◽

The Impact ◽

Neonatal Near Miss

Abstract Background The rate of neonatal mortality has declined but lesser than the infant mortality rate and remains a major public health challenge in low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 h after birth and the early neonatal period. Neonatal near miss (NNM) is an emerging concept similar to that of maternal near miss. NNM events occur three to eight times more often than neonatal deaths. The objective of this study was to establish the prevalence of NNM and identify its associated factors. Methods A hospital-based cross-sectional study was conducted in Koshi Hospital, Morang district, Nepal. Neonates and their mothers of unspecified maternal age and gestational age were enrolled. Key inclusion criteria were pragmatic and management markers of NNM and admission of newborn infants to the neonatal intensive care unit (NICU) in Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size of 1,000 newborn infants was reached. Simple and multiple logistic regression was performed using SPSS® version 24.0. Results One thousand respondents were recruited. The prevalence of NNM was 79 per 1,000 live births. Severe maternal morbidity (adjusted odds ratio (aOR) 4.52; 95% confidence interval (CI) 2.07–9.84) and no formal education (aOR 2.16; 95% CI 1.12–4.14) had a positive association with NNM, while multiparity (aOR 0.52; 95% CI 0.32–0.86) and caesarean section (aOR 0.44; 95% CI 0.19–0.99) had negative associations with NNM. Conclusions Maternal characteristics and complications were associated with NNM. Healthcare providers should be aware of the impact of obstetric factors on newborn health and provide earlier interventions to pregnant women, thus increasing survival chances of newborns.

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Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study

10.21203/rs.3.rs-42794/v3 ◽

2021 ◽

Author(s):

Sushma Rajbanshi ◽

Norhayati Mohd Noor ◽

Nik Hazlina Nik Hussain

Keyword(s):

Caesarean Section ◽

Associated Factors ◽

Newborn Infants ◽

Newborn Care ◽

Cross Sectional Study ◽

Near Miss ◽

Infant Mortality Rate ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Near Miss

Abstract Background: Unlike the infant mortality rate, the rate of neonatal mortality has not significantly declined and remains a major health challenge in the low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 hours after birth and the early neonatal period. Neonatal near miss (NNM) is an emerging concept similar to that of maternal near miss. NNM events occur three to eight times more often than neonatal deaths. The objective of this study was to establish the prevalence of NNM and identify its associated factors. Methods: A hospital-based cross-sectional study was conducted in Koshi Hospital, Morang district, Nepal. Neonates and their mothers of unspecified maternal age and number of gestational weeks were enrolled. The key inclusion criterion was the pragmatic and management markers of NNM, and admission of newborn infants to the neonatal intensive care unit (NICU) in Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size of 1,000 newborn infants was reached. Simple and multiple logistic regression was performed using SPSS® version 24.0.Results: One thousand respondents were recruited. Prevalence of NNM was 79 per 1,000 live births. Severe maternal morbidity (adjusted odds ratio (aOR) 4.52; 95% confidence interval (CI): 2.07–9.84), no education (aOR 2.16; 95% CI 1.12–4.14), multiparity (aOR 0.52; 95% CI 0.32–0.86), and caesarean section (aOR 0.44: 95% CI 0.19–0.99) were associated with NNM. Conclusions: Prevalence of NNM in Nepal was 7.9%. Mothers’ obstetric factors, maternal complications and education were associated with NNM. Women in referral hospitals should have safer access to caesarean section and be prepared for NICU intervention to save mothers and their newborns.

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Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study

10.21203/rs.3.rs-42794/v2 ◽

2020 ◽

Author(s):

Sushma Rajbanshi ◽

Norhayati Mohd Noor ◽

Nik Hazlina Nik Hussain

Keyword(s):

Caesarean Section ◽

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Newborn Infants ◽

Cross Sectional Study ◽

Near Miss ◽

Infant Mortality Rate ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Near Miss

Abstract Background: Unlike the infant mortality rate, the rate of neonatal mortality has not declined and remains a major health challenge in the low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 hours after birth and the early neonatal period. Neonatal near miss (NNM) is an emerging concept similar to that of maternal near miss. NNM events occur three to eight times more often than the neonatal deaths. The objective of this study was to establish the prevalence of NNM and identify its associated factors. Methods: A hospital-based cross-sectional study was conducted at Koshi Hospital, Morang district, Nepal. Neonates and their mothers of unspecified maternal age and number of gestational weeks were enrolled. The key inclusion criterion was the pragmatic and management markers of NNM, and admission of newborn infants to the neonatal intensive care unit (NICU) in Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size of 1,000 newborn infants was reached. Simple and multiple logistic regression analysis was performed using SPSS® version 24.0.Results: One thousand respondents were recruited. The prevalence of NNM was 79 per 1,000 live births. Severe maternal morbidity (adjusted odds ratio (AOR): 4.51, 95% confidence interval (CI): 2.07–9.84), maternal secondary (AOR: 0.46, 95% CI: 0.24–0.88) and tertiary education (AOR: 0.18, 95% CI: 0.05–0.56), multiparity (AOR: 0.52, 95% CI: 0.39–0.86), and caesarean section (AOR: 0.48, 95% CI: 0.19–0.99) were associated with NNM. Conclusions: The prevalence of NNM in Nepal was 7.9%. Mothers’ obstetric factors, maternal complications and education were associated with NNM. Referral hospitals should have safer access to caesarean section and be prepared to offer NICU intervention to save mothers and their newborns.

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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

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03601-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Anteneh Fikrie Tekola ◽

Genet Baye ◽

Elias Amaje ◽

Kebede Tefera

Keyword(s):

Cesarean Section ◽

Associated Factors ◽

Cross Sectional Study ◽

Near Miss ◽

Pregnancy Induced Hypertension ◽

Sectional Study ◽

Cross Sectional ◽

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 (NNM) 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 NNM cases, 202 (33.4%) (95% CI: 29.7–37.1%) was obtained at Hawassa City Government Hospitals. Respiratory distress 158 (94%) and infection or sepsis 138 (84%) were found to be the leading causes of NNM cases in our study. Governmental and non-governmental employed mother (AOR = 3.05, 95% CI: 1.46–6.44) and Cesarean Section delivery (AOR = 1.89, (95% CI: 1.25–2.83)) were positively significantly associated with neonatal near miss. Whereas, pregnancy induced Hypertension (AOR = 0.43, 95%CI: 0.27–0.69) was negatively associated with neonatal near miss. Conclusion This study revealed relatively high prevalence of NNM 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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Application of International Classification of Functioning, Disability and Health (ICF) in individuals with spinal cord injury

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2011000400020 ◽

2011 ◽

Vol 69 (3) ◽

pp. 513-518 ◽

Cited By ~ 15

Author(s):

Janaina Vall ◽

Carlos Mauricio de Castro Costa ◽

Laura França Pereira ◽

Tatiane Temmy Friesen

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Cross Sectional Study ◽

Social Attitudes ◽

International Classification ◽

International Classification Of Functioning ◽

Cross Sectional ◽

Cord Injury ◽

The City

After spinal cord injury is common functionality is affected. OBJECTIVE: To evaluate the functionality of patients with spinal cord injury. METHOD: Cross-sectional study by means of the International Classification of Functionality (ICF). 109 adults with spinal cord injury in the city of Curitiba, Brazil were evaluated. RESULTS: The categories most compromised in body were intestines and bladder, sexuality, energy, sleep, emotion and weight. In the domain activities and participation, there was greater difficulty in tasks of bathing, toilet and dressing, self care and leisure. In the domain environmental factors, the categories classified as facilitators were: medications, orthoses and wheelchair, attitude of family, transport, social foresight and health services. The categories classified as barriers were: attitude of authorities, social attitudes, education and work. CONCLUSION: The application of the ICF in persons with spinal cord injury demonstrated a series of disabilities and limitations.

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The prevalence of neonatal near miss and associated factors in Nepal: A cross-sectional study

10.21203/rs.3.rs-42794/v1 ◽

2020 ◽

Author(s):

Sushma Rajbanshi ◽

Norhayati Mohd Noor ◽

Nik Hazlina Nik Hussain

Keyword(s):

Caesarean Section ◽

Maternal Morbidity ◽

Newborn Infants ◽

Cross Sectional Study ◽

Near Miss ◽

Infant Mortality Rate ◽

Severe Maternal Morbidity ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Near Miss

Abstract Background: Unlike the infant mortality rate, the rate of neonatal mortality has not declined and remains a major health challenge in low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 hours of birth and the early neonatal period. Determining which factors contribute to neonatal near miss (NNM) can be used to assess health care quality and identify factors capable of correction in the healthcare system to improve neonatal care. Thus, the objective of the current study was to establish the prevalence of NNM and identify its associated factors.Methods: A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal. Neonates and their mothers (unspecified maternal age and number of gestational weeks) were enrolled. The key inclusion criterion was the admission of newborn infants to the neonatal intensive care unit at Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size (i.e., 1,000 newborn infants) was reached. Simple and multiple logistic regression analysis was performed using SPSS ® version 24.0.Results: One thousand respondents were recruited. The prevalence of NNM was 79 per 1,000 live births. Maternal secondary (adjusted odds ratio (AOR]: 0.46, 95% confidence interval (CI]: 0.24–0.88) and tertiary education (AOR: 0.18, 95% CI: 0.05–0.56), multiparity (AOR: 0.52, 95% CI: 0.39–0.86), Caesarean section (AOR: 0.48, 95% CI: 0.19–0.99), and severe maternal morbidity (AOR: 4.51, 95% CI: 2.07–9.84) were significantly associated with NNM.Conclusions: Parity, severe maternal morbidity, mode of delivery, and maternal education were significantly associated with NNM. Healthcare workers should be aware of the impact of obstetric factors so that earlier interventions, especially the Caesarean section, can be exercised.

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High Food Insecurity in Recyclers from Waste Sorting Units in Southern Brazil

10.21203/rs.2.11101/v1 ◽

2019 ◽

Author(s):

Cássia Medino Soares ◽

Camila Saueressig ◽

Bruna Alves ◽

Carolina Bortolin Beskow ◽

Paulo Roberto Taborda de Souza Filho ◽

...

Keyword(s):

Health Promotion ◽

Food Insecurity ◽

Cross Sectional Study ◽

Southern Brazil ◽

Cross Sectional ◽

Health Promotion Programs ◽

South Of Brazil ◽

Substance Involvement ◽

The City ◽

Overweight Or Obesity

Abstract Background In areas of greater social vulnerability, there are high levels of food insecurity, infectious diseases and diseases secondary to malnutrition. However, in Brazil, there are few studies with recyclers from waste sorting units, resulting in a lack of health promotion programs for this population. This study aimed to describe the prevalence of food insecurity in recyclers from waste sorting units in the south of Brazil. Methods Cross-sectional study conducted from May of 2017 to April of 2018 with adult individuals from two waste sorting units in the city of Porto Alegre, southern Brazil. Clinical and nutritional evaluations were performed in the work environment, and three questionnaires were applied: the Brazilian Scale of Food Insecurity, the Alcohol, Smoking and Substance Involvement Screening Test, and the International Questionnaire of Physical Activity. Results One hundred and twenty-three subjects were evaluated, mean age 35 years, 66% female. A 74% rate of food insecurity was detected. About 57% of the participants presented overweight or obesity and 48% presented increased waist circumference. Conclusion Subjects presented high levels of Food Insecurity and immediate need of intervention for tobacco and alcohol abuse. There is a need for multidisciplinary interventions to prevent the situations found and the implementation of public policies addressing health promotion acts in the population of recyclers.

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Main reasons for medical consultations in family healthcare units in the city of Recife, Brazil: a cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.9490902 ◽

2015 ◽

Vol 133 (4) ◽

pp. 367-370 ◽

Cited By ~ 6

Author(s):

Rinailda de Cascia Santos Torres ◽

Karine Sobral Marques ◽

Kamila de Nazaré Ribas Leal ◽

Pedro Augusto Sampaio Rocha-Filho

Keyword(s):

Primary Healthcare ◽

Family Health ◽

Cross Sectional Study ◽

Medical Attention ◽

Sectional Study ◽

Cross Sectional ◽

Family Health Program ◽

Medical Attendance ◽

The City

ABSTRACTCONTEXT AND OBJECTIVE: Only a few studies have focused on the main reasons for consultations at primary healthcare units within the Family Health Program. The aim here was to describe the reasons that led patients to seek assistance at four primary healthcare units in the city of Recife, Brazil.DESIGN AND SETTING: Cross-sectional study at primary healthcare units in the city of Recife.METHODS: Among adult patients who were consecutively attended at four primary healthcare units in the city of Recife, their two main reasons for going there were recorded by medical students. The students did not interfere in the consultation dynamics. The data were gathered between September 2010 and March 2011 and between November 2012 and August 2013. The reasons for the consultations were grouped into broader categories in accordance with the International Classification of Primary Care (ICPC-2).RESULTS: 478 patients were included. Their mean age was 45.9 years (± 16 years) and 71% were female. Pain was the main reason for seeking medical attention (34%), followed by evaluation of tests, prescription renewal and medical certificates (17.6%). The most frequent types of pain were musculoskeletal pain (15.7%), headache (10.4%) and abdominal pain (8%). The main reasons for consultation according to ICPC-2 were in the general and nonspecific, musculoskeletal, nervous system-related and digestive tract categories.CONCLUSION:Pain was the most frequent reason for seeking medical attendance at these primary healthcare units.

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