A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional
Background: Neonatal mortality remains one of the most pressing concerns in the world despite enormous improvements in neonatal intensive care. Although there is a decline in neonatal death in Ethiopia, it is still a major problem. In this study, the prevalence and contributing factors of neonatal n...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2023-01-01
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| Series: | Iranian Journal of Neonatology |
| Subjects: | |
| Online Access: | https://ijn.mums.ac.ir/article_22045_7f1dded33bff1bbd0dd8bd132c2556d1.pdf |
| _version_ | 1797832711092568064 |
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| author | Banchialem Legamo Endalew Sendo |
| author_facet | Banchialem Legamo Endalew Sendo |
| author_sort | Banchialem Legamo |
| collection | DOAJ |
| description | Background: Neonatal mortality remains one of the most pressing concerns in the world despite enormous improvements in neonatal intensive care. Although there is a decline in neonatal death in Ethiopia, it is still a major problem. In this study, the prevalence and contributing factors of neonatal near-misses were investigated in neonates admitted to sampling public hospitals in Addis Ababa, Ethiopia.Methods: A facility-based retrospective cross-sectional study of 367 participants was conducted. An interviewer-administered, pre-tested structured questionnaire developed from pertinent literature was used to collect data on mothers by phone. The secondary data were gathered from the mothers' and the newborn's medical records using a pre-tested standardized checklist. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to determine the level of significance.Results: Neonatal Near Miss [NNM] prevalence was 25.6% (95% CI 21.0-30.5). The NNM was associated with the mother's work (AOR: 0.123, 95% CI: 0.018-0.859), as well as previous preterm deliveries (AOR: 11.83, 95% CI: 1.856- 75.398), Cesarean section (2.39 AOR, 95% CI: 1.229-4.652), pregnancy-related hypertension (2.67, 95% CI: 1.343-5.324), and infection (AOR (AOR 8.925, 95 % CI 2.580 - 30.873). More than half of newborns [51.0 %] were male. In terms of newborn presentation, 91.8 % of newborns had a cephalic presentation, while Breech presentation accounted for 6.9 %. Twenty-seven [7.4%] of the research participants had birth injuries, and 74% suffered from subglacial hemorrhages.Conclusion: Most of the near-miss variables that can be altered or prevented are obstetric, medical, and neonatal-related. Early detection and treatment of the problems may help to improve neonatal outcomes. The Ethiopian government should pay greater attention to the health sector to expand prenatal care visits. Further prospective research is also required to look into additional reasons for newborn mortality. |
| first_indexed | 2024-04-09T14:12:11Z |
| format | Article |
| id | doaj.art-a518157f18164cf8947bad28cb31d7cb |
| institution | Directory Open Access Journal |
| issn | 2251-7510 2322-2158 |
| language | English |
| last_indexed | 2024-04-09T14:12:11Z |
| publishDate | 2023-01-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neonatology |
| spelling | doaj.art-a518157f18164cf8947bad28cb31d7cb2023-05-06T06:31:19ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582023-01-01141263310.22038/ijn.2023.62536.219522045A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectionalBanchialem Legamo0Endalew Sendo1College of Health Sciences, School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, EthiopiaDepartment of neonatal nursing, School of Nursing, St.Pauls Hospital Millennium Medical College, Addis Ababa, EthiopiaBackground: Neonatal mortality remains one of the most pressing concerns in the world despite enormous improvements in neonatal intensive care. Although there is a decline in neonatal death in Ethiopia, it is still a major problem. In this study, the prevalence and contributing factors of neonatal near-misses were investigated in neonates admitted to sampling public hospitals in Addis Ababa, Ethiopia.Methods: A facility-based retrospective cross-sectional study of 367 participants was conducted. An interviewer-administered, pre-tested structured questionnaire developed from pertinent literature was used to collect data on mothers by phone. The secondary data were gathered from the mothers' and the newborn's medical records using a pre-tested standardized checklist. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to determine the level of significance.Results: Neonatal Near Miss [NNM] prevalence was 25.6% (95% CI 21.0-30.5). The NNM was associated with the mother's work (AOR: 0.123, 95% CI: 0.018-0.859), as well as previous preterm deliveries (AOR: 11.83, 95% CI: 1.856- 75.398), Cesarean section (2.39 AOR, 95% CI: 1.229-4.652), pregnancy-related hypertension (2.67, 95% CI: 1.343-5.324), and infection (AOR (AOR 8.925, 95 % CI 2.580 - 30.873). More than half of newborns [51.0 %] were male. In terms of newborn presentation, 91.8 % of newborns had a cephalic presentation, while Breech presentation accounted for 6.9 %. Twenty-seven [7.4%] of the research participants had birth injuries, and 74% suffered from subglacial hemorrhages.Conclusion: Most of the near-miss variables that can be altered or prevented are obstetric, medical, and neonatal-related. Early detection and treatment of the problems may help to improve neonatal outcomes. The Ethiopian government should pay greater attention to the health sector to expand prenatal care visits. Further prospective research is also required to look into additional reasons for newborn mortality.https://ijn.mums.ac.ir/article_22045_7f1dded33bff1bbd0dd8bd132c2556d1.pdfaddis ababaethiopianeonatal near missprevalence |
| spellingShingle | Banchialem Legamo Endalew Sendo A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional Iranian Journal of Neonatology addis ababa ethiopia neonatal near miss prevalence |
| title | A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional |
| title_full | A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional |
| title_fullStr | A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional |
| title_full_unstemmed | A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional |
| title_short | A Study of Neonatal Near-misses and the Contributing Factors among Neonates Born in Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cross-sectional |
| title_sort | study of neonatal near misses and the contributing factors among neonates born in public hospitals in addis ababa ethiopia a retrospective cross sectional |
| topic | addis ababa ethiopia neonatal near miss prevalence |
| url | https://ijn.mums.ac.ir/article_22045_7f1dded33bff1bbd0dd8bd132c2556d1.pdf |
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