Journal of Pregnancy and Child Health
Open Access

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

Amare Bitaw¹, Yohannes Miheretie¹, Yohannes Godie^2* and Abera Mamo³

¹Department of Pediatrics, College of Medicine and Health Science, Addis Ababa University, Addis Ababa, Ethiopia

²Department of Pediatric and Child Health, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia

³Department of Midwifery, College of Health Science, Mizan-Tepi University, Mizan Aman, Ethiopia

Received Date: Feb 22, 2023 / Published Date: May 12, 2023

Citation: Bitaw A, Miheretie Y, Godie Y, Mamo A (2023) Magnitude and Associated Factors of Neonatal Near Miss among Neonates Delivered at Alert Comprehensive Specialized Hospital, Addis Ababa, Ethiopia, 2022: A Cross Sectional Study. J Preg Child Health 10: 594.

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Copyright: © 2023 Bitaw A, 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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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.

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