妊娠と小児の健康に関するジャーナル

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Magnitude and Associated Factors of Neonatal Near Miss among Neonates Delivered at Alert Comprehensive Specialized Hospital, Addis Ababa, Ethiopia, 2022: A Cross Sectional Study

Background: Neonatal “near misses” are newborns with severe complications at birth or during the neonatal phase who survived. It is critical to identify neonatal “near miss” cases and correct contributing factors. To ascertain the magnitude and associated factors of neonatal near misses among neonates delivered at alert’s comprehensive and specialized hospitals.

Materials and Methods: An institution based cross sectional study was conducted among 377 neonates who were delivered from March to April 2022. A face to face interviewer administered a structured questionnaire that was supplemented with checklists from maternal and neonatal medical records. The collected data was entered into Epi- Data version 4.6 and analyzed with statistical package for social sciences version 26.0. Using binary logistic regression, bivariable and multivariable analyses were performed to identify factors associated with neonatal near misses and a P-value of 0.05 at a 95% confidence interval was declared statistically significant.

Results: The overall magnitude of the neonatal near miss was 30.7% (95% CI: 26.3–35.7). Having a monthly income below the poverty line (AOR: 2.88, 95% CI: 1.37, 6.06), a previous history of neonatal death (AOR: 13.5, 95% CI: 6.67, 27.48), a cesarean section delivery (AOR: 2.56, 95% CI: 1.30, 5.06) and not taking iron with folic acid during pregnancy (AOR: 3.32, 95% CI: 1.58, 6.97) were statistically associated with a neonatal near miss.

Conclusion: The magnitude of the neonatal near misses was high. It was associated with low monthly income, a previous history of neonatal death, cesarean section deliveries and not taking iron with folic acid during pregnancy.