Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 May 31:12:1326568.
doi: 10.3389/fped.2024.1326568. eCollection 2024.

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

Shemsu Yasin  1 , Lemesa Abdisa  2 , Hirbo Shore Roba  3 , Abera Kenay Tura  2   4
Affiliations

Predictors of neonatal near-misses in Worabe Comprehensive Specialized Hospital, Southern Ethiopia

Shemsu Yasin et al. Front Pediatr. .

Abstract

Background: Neonatal deaths are still a major leading cause of social and economic crises. Identifying neonatal near-miss events and identifying their predictors is crucial to developing comprehensive and pertinent strategies to alleviate neonatal morbidity and death. However, neither neonatal near-miss events nor their predictors were analyzed in the study area. Therefore, this study is aimed at assessing the predictors of neonatal near-misses among neonates born at Worabe Comprehensive Specialized Hospital, Southern Ethiopia, in 2021.

Methods: A hospital-based unmatched case-control study was conducted from 10 November 2021 to 30 November 2021. A pre-tested, structured, and standard abstraction checklist was used to collect the data. After checking the data for completeness and consistency, it was coded and entered into Epi-Data 3.1 and then exported to Stata version 14 for analysis. All independent variables with a p-value ≤0.25 in bivariable binary logistic regression were entered into a multivariable analysis to control the confounding. Variables with p-values <0.05 were considered statistically significant.

Results: In this study, 134 neonatal near-miss cases and 268 controls were involved. The identified predictors of neonatal near-misses were rural residence [adjusted odds ratio (AOR): 2.01; 95% confidence interval (CI): 1.31-5.84], no antenatal care (ANC) follow-up visits (AOR: 2.98; 95% CI: 1.77-5.56), antepartum hemorrhage (AOR: 2.12; 95% CI: 1.18-4.07), premature rupture of the membrane (AOR: 2.55; 95% CI: 1.54-5.67), and non-vertex fetal presentation (AOR: 3.05; 95% CI: 1.93-5.42).

Conclusion: The current study identified rural residents, no ANC visits, antepartum hemorrhage, premature rupture of membrane, and non-vertex fetal presentation as being significantly associated with neonatal near-miss cases. As a result, local health planners and healthcare practitioners must collaborate in enhancing maternal healthcare services, focusing specifically on the early identification of issues and appropriate treatment.

Keywords: Southern Ethiopia; determinant; morbidity; neonatal near-miss; predictors.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Souza JP, Gülmezoglu AM, Carroli G, Lumbiganon P, Qureshi Z, Group WR. The World Health Organization multicountry survey on maternal and newborn health: study protocol. BMC Health Serv Res. (2011) 11(1):286. 10.1186/1472-6963-11-286 - DOI - PMC - PubMed
    1. Global Health Observatory (GHO) data: neonatal mortality. Geneva: World Health Organization; (2016). Available online at: https://apps.who.int/gho/data/node.sdg.3-2-data?lang=en (cited December 22, 2016).
    1. Lawn JE, Blencowe H, Oza S, You D, Lee ACC, Waiswa P, et al. Every newborn: progress, priorities, and potential beyond survival. Lancet. (2014) 384(9938):189–205. 10.1016/S0140-6736(14)60496-7 - DOI - PubMed
    1. Sankar MJ, Natarajan CK, Das RR, Agarwal R, Chandrasekaran A, Paul VK. When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries. J Perinatol. (2016) 36(1):S1–11. 10.1038/jp.2016.27 - DOI - PMC - PubMed
    1. Sustainable Development Goals (SDGs): Goal 3. Target 3.2: By 2030, end preventable deaths of newborns and children under 5 years of age. Available online at: https://policycommons.net/artifacts/490180/sustainable-development-goals... (Accessed May 12, 2021).