A Call for Eminence Obstetrics Care by Way of "Neonatal Near Miss" Events (NNM): A Hospital-Based Case-Control Study

Journal of Obstetrics and Gynaecology of India
Bhavesh D Shroff, Nittal H Ninama

Abstract

A neonatal near miss (NNM) case would refer to an infant who nearly died but survived during birth or within 28 days of extra-uterine life. The near miss concept is being increasingly used as a tool to evaluate and improve the quality of care, especially obstetric care. All "near miss" should be inferred as free lesson and opportunities to improve the quality of service endowment. A hospital based case control study was conducted in a tertiary care hospital of central Gujarat to measure factors associated with NNM events. Mothers of those newborns, who had been admitted for critical care, and survived, were included as cases, after their discharge. Controls were selected from same settings who were not falling into defined criteria of NNM. Various antenatal factors were compared among the two groups. The number of neonatal near miss events were 291 (109 newborns with birth weight less than 1500 g, 169 APGAR score <7 and 13 with gestational age <30 weeks). The neonatal near miss rate was 86.7 per 1000 live births. Less number of antenatal visits, history of referral and hospitalisation during ante natal period were adversely associated with near miss events. Incorporation of near miss events into the confidential enquiry system ...Continue Reading

References

Oct 11, 2012·Einstein·Tatiana Gandolfi de OliveiraJosé Ricardo Dias Bertagnon
Mar 20, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·C Pileggi-CastroUNKNOWN WHO Multicountry Survey on Maternal and Newborn Health Research Network
Aug 29, 2014·Cadernos de saúde pública·Antônio Augusto Moura da SilvaMaria do Carmo Leal
Aug 29, 2014·Cadernos de saúde pública·Sônia LanskyAntonio José Ledo Alves da Cunha

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Citations

Dec 25, 2019·BMC Pediatrics·Ashura BakariCheryl A Moyer
Jul 31, 2020·BMC Pregnancy and Childbirth·Ocilia Maria Costa CarvalhoFrancisco Herlânio Costa Carvalho
Dec 5, 2019·Cadernos de saúde pública·Katrini Guidolini MartinelliEdson Theodoro Dos Santos Neto
Mar 9, 2021·Early Human Development·Tahir Ahmed HassenDeborah Loxton
Jun 10, 2021·Cadernos de saúde pública·Karla Eveline Ximenes de FrançaSilvia Wanick Sarinho
Jun 11, 2021·BMC Pregnancy and Childbirth·Rajbanshi SushmaNik Hussain Nik Hazlina
Oct 26, 2021·Global Health Action·Mengstu Melkamu AsayeKerstin Erlandsson
Feb 3, 2022·Global Health Action·Mengstu Melkamu AsayeKerstin Erlandsson

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