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

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

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

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ocilia Maria Costa Carvalho ◽  
Antônio Brazil Viana Junior ◽  
Matheus Costa Carvalho Augusto ◽  
Álvaro Jorge Madeiro Leite ◽  
Rivianny Arrais Nobre ◽  
...  
Keyword(s):  
Case Control Study ◽  
Obstetric Care ◽  
Case Control ◽  
Near Miss ◽  
Control Study ◽  
Neonatal Near Miss

scholarly journals Factors associated with neonatal near-miss in selected hospitals of Gamo and Gofa zones, southern Ethiopia: nested case-control study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abera Mersha ◽  
Agegnehu Bante ◽  
Shitaye Shibiru
Keyword(s):  
Antenatal Care ◽  
Case Control Study ◽  
Case Control ◽  
Near Miss ◽  
Southern Ethiopia ◽  
Factors Affecting ◽  
Factors Associated ◽  
Nested Case Control ◽  
Control Study ◽  
Neonatal Near Miss

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.

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

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.

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

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.

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

2018 ◽  
Vol 18 (1) ◽  
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

scholarly journals Determinants of Low APGAR score in Newborns Delivered at Lemlem Karl General Hospital, Northern Ethiopia, 2018: A Case Control Study

2020 ◽  
Author(s):  
Mussie Mulugeta Gebremedhin ◽  
Mengistu Welday Gebremichael ◽  
Berhane Gebreegizabiher Gebremichael ◽  
Mihrete-ab Mehari Reda ◽  
Tesfay Adhena Hailu ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
General Hospital ◽  
Apgar Score ◽  
Case Control Study ◽  
Case Control ◽  
Northern Ethiopia ◽  
Determinant Factors ◽  
Hypertensive Disorders ◽  
Control Study

Abstract BACKGROUND: The Apgar score is a method to quickly summarize the health of newborn children. It establishes a simple and clear classification of newborns, which could be used to predict survival and to compare methods of resuscitation and perinatal experience across hospitals and obstetric practices. Low Apgar score is associated with various immediate and long-term adverse health outcomes of newborns. Hence; in order to decrease the risk/complications, identifying the determinant factors of low Apgar is crucial to act on the modifiable risk factors. This study is aimed to investigate the determinant factors of a low Apgar score in newborn children.METHOD: The study was conducted in Lemelem Karl general hospital; northern Ethiopia. An institutional-based unmatched, case-control study was implemented. Data were retrieved from medical charts of 662 newborns’ mothers who gave birth in the hospital from Sep 2014 to Sep 2017. Among these, 221 of them were cases (charts of mothers whose newborns’ fifth minute Apgar score was <7) and 441 of them were controls (charts of mothers whose newborns’ Apgar score was 7 and above). Data was collected using a pretested and structured checklist using systematic sampling and data was entered & analyzed using SPSS version 20. Binary and multivariable logistic regression was done to determine the association and statistical significance was declared at P-value of ≤0.05. RESULTS: This study revealed that low Apgar score was significantly associated with antepartum hemorrhage [Adjusted odss ratio (AOR) 3.509; 95% confidence interval (CI) 1.526-8.067), P= 0.003], pregnancy-induced hypertensive disorders [AOR 2.69; 95% CI (1.351-5.357), P= 0.005], prolonged second stage of labor [AOR 2.63; 95% CI (1.399-4.944), P= 0.003], Cesarean delivery [AOR 2.005; 95%CI (1.223-3.287), P= 0.006],meconium-stained liquor [AOR 6.955; 95% CI (3.721-13.001), P<0.001], and low birth weight [AOR 4.38; 95% CI (2.216-8.657), P<0.001].CONCLUSION: Result from this study showed a remarkable linkage of low Apgar score with antepartum hemorrhage, pregnancy-induced hypertensive disorders, meconium-stained liquor, and low birth weight. Therefore, meticulous antenatal care and labour management service are recommended to prevent low Apgar score and the concomitant neonatal death.

scholarly journals Determinant factors of drug resistant tuberculosis in Iran, a case control study

2019 ◽  
Vol 7 (3) ◽  
pp. 322-324
Author(s):  
Mahdi Afshari ◽  
Mohsen Aarabi ◽  
Mohammadreza Parsaee ◽  
Asghar Nezammahalleh ◽  
Mahmood Moosazadeh
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Drug Resistant ◽  
Drug Resistant Tuberculosis ◽  
Determinant Factors ◽  
Resistant Tuberculosis ◽  
Control Study

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

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.

scholarly journals Maternal near-miss at university hospitals with cesarean overuse: an incident case-control study

2016 ◽  
Vol 95 (7) ◽  
pp. 777-786 ◽  
Author(s):  
Soheila Mohammadi ◽  
Birgitta Essén ◽  
Masoumeh Fallahian ◽  
Robabeh Taheripanah ◽  
Soraya Saleh Gargari ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Near Miss ◽  
Maternal Near Miss ◽  
University Hospitals ◽  
Incident Case ◽  
Control Study
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