Determinants of Neonatal Near-Miss among Neonates of Postnatal Women in North Wollo Hospitals, Northern Ethiopia, 2022

• Published in: Health science journal 2023-01, Vol.17 (7), p.1-10
• Main Authors: Alamrew, Abebaw, Workie, Amare, Gashaw, Wondimnew, Yetwale, Aynalem, Geremew, Lake, Kumie, Getinet, Hailu, Haimanot
• Format: Article
• Language: English
• Subjects: Births; Childbirth & labor; Childrens health; Families & family life; Hospitals; Hypertension; Infant mortality; Newborn babies; Obstetrics; Population; Pregnancy; Prenatal care; Public health; Regression analysis; Sample size; Sampling techniques; Variables; Ventilators; Womens health
• ISSN: 1791-809X; 1791-809X
• DOI: 10.36648/1791-809X.17.7.1043

[...]there is limited evidence of this problem in sub-Saharan Africa, particularly Ethiopia. [...]this study aimed to identify the determinants of neonatal near misses among neonates delivered in public hospitals in the North Wollo Zone, Northern Ethiopia. Previous studies have attempted to identify the determinants of neonatal near miss by using only two classes of parameters (pragmatic and management criteria) for identifying NNM cases, however, this study used six classes of parameters (cardiorespiratory, sensory and drug-related, neuro-renal, hepatic, labinvestigation and pragmatic domains) to identify NNM cases, which helps reduce the chance of missing neonatal near miss cases. [...]the determinant factors of neonatal nearmiss have not been adequately investigated specifically in the study area; therefore, this study was aimed to identifying the determinants of neonatal near-miss among neonates of postnatal Women in North Wollo Hospitals, Northern Ethiopia. Sampling technique and procedure There were six public hospitals in the North Wollo Zone, and the sample size was allocated proportionally to each study area by considering their previous 2-month delivery report as a sample frame .and finally allocated the control to the case at a 2:1 ratio in each hospital. Study variables Dependent variable Neonatal near miss Independent Variables: Socio-demographic characteristics included maternal age, place of residence, marital status, educational status of the mother, educational status of the husband, occupation, and family size, obstetric characteristics which including parity, birth interval, prenatal visits, complications during pregnancy, complications during labor and delivery, mode of delivery, fetal characteristics including presentation, meconium-stained amniotic fluid, sex of neonate, gestational age, and weight of the newborn, medical-related factors including DM, chronic HTN, anemia, cardiac, HIV, syphilis, malnutrition and substance use during pregnancy; cigarette smoking.