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Determinants of Neonatal Near Miss among Neonates Admitted to Ambo University Referral Hospital and Ambo General Hospital, Ethiopia, 2019 | OMICS International| Abstract
ISSN: 2376-127X

Journal of Pregnancy and Child Health
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  • Research Article   
  • J Preg Child Health,
  • DOI: 10.4172/2376-127X.1000425

Determinants of Neonatal Near Miss among Neonates Admitted to Ambo University Referral Hospital and Ambo General Hospital, Ethiopia, 2019

Ephrem Yohannes1*, Nega Assefa2 and Yadeta Dessie2
1Department of Medicine and Health Sciences, Wollo University, Ethiopia
2Department of Health and Medical Sciences, Haramaya University, Ethiopia
*Corresponding Author : Ephrem Yohannes, Department Of Medicine And Health Sciences, Wollo University, Dessie, Ethiopia, Tel: +251927376254, Email:

Received Date: Oct 31, 2019 / Accepted Date: Jan 23, 2020 / Published Date: Jan 30, 2020


Background: Neonatal Near-miss is defined as complications of neonates so severe as to be imminently life-threatening but survived due to chance or treatment. The number of neonates who survived morbidities were approximately 3 to 6 times greater than those who died. There was little evidence about Neonatal Near Miss in Ethiopia. This study attempted to identify the determinants of Neonatal Near Miss among neonates admitted to the Ambo University Referral Hospital and Ambo General Hospital.

Methods: Hospital-based quantitative unmatched case-control study was conducted at the Ambo University Referral Hospital and Ambo General Hospital from March 1 to 28, 2019. The respondents, 134 cases and 268 controls were recruited by simple random technique. Data were coded, entered and cleaned in EpiInfo version 7 and exported to SPSS. Both Bivariable and multivariable logistic regression was computed at 95% CI and the final model was checked by Hosmer and Lemeshow goodness-of-fit test. Multi collinearity and cofounders were not detected.

Result: Multivariate analysis showed that distance more than 15 km away from health facilities [AOR=2.11, 95% CI: (1.09, 4.095)], Unwanted, and unplanned current pregnancy [AOR=3.71, 95% CI: (1.28, 10.79)], less than four Antenatal care visit [AOR=6.55, 95% CI: (3.07, 13.98)], Instrumental delivery [AOR= 4.62, 95% CI: (1.78, 11.98)] were positively associated with Neonatal Near Miss. Whereas Term Neonates [AOR= 87%, 95% CI: (0.05, 0.32)] and Normal birth weight [AOR=91%, 95% CI: (0.03, 0.28)] were negatively associated with Neonatal Near Miss.

Conclusion and recommendations: Distance from health facilities, Antenatal care visit, current pregnancy type, birth weight, gestational age and mode of delivery were determinants of Neonatal Near Miss. Therefore, providing adequate Antenatal services, health education and training is needed to improve neonatal health.

Keywords: Neonatal near miss, Determinants, Ambo, Ethiopia

Citation: Yohannes E, Assefa N, Dessie Y (2020) Determinants of Neonatal Near Miss among Neonates Admitted to Ambo University Referral Hospital and Ambo General Hospital, Ethiopia, 2019. J Preg Child Health 7: 425. Doi: 10.4172/2376-127X.1000425

Copyright: © 2020 Yohannes E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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