scholarly journals A Case-Control Study on the Predictors of Neonatal Near-Miss: Implications for Public Health Policy and Practice

2021 ◽  
Vol 28 (3) ◽  
pp. 124-132
Author(s):  
Avita Rose Johnson ◽  
Sobin Sunny ◽  
Ramola Nikitha ◽  
Sulekha Thimmaiah ◽  
Suman P. N. Rao
Keyword(s):  
Public Health ◽  
Public Health Policy ◽  
Case Control Study ◽  
Case Control ◽  
Near Miss ◽  
Policy And Practice ◽  
Health Policy And Practice ◽  
Control Study ◽  
Neonatal Near Miss ◽  
In Pregnancy

Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city.Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro’s pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI).Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02).Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

scholarly journals Delays in obstetric care increase the risk of neonatal near-miss morbidity events and death: a case-control study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ocilia Maria Costa Carvalho ◽  
Antônio Brazil Viana Junior ◽  
Matheus Costa Carvalho Augusto ◽  
Álvaro Jorge Madeiro Leite ◽  
Rivianny Arrais Nobre ◽  
...  
Keyword(s):  
Case Control Study ◽  
Obstetric Care ◽  
Case Control ◽  
Near Miss ◽  
Control Study ◽  
Neonatal Near Miss

scholarly journals Factors associated with neonatal near-miss in selected hospitals of Gamo and Gofa zones, southern Ethiopia: nested case-control study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abera Mersha ◽  
Agegnehu Bante ◽  
Shitaye Shibiru
Keyword(s):  
Antenatal Care ◽  
Case Control Study ◽  
Case Control ◽  
Near Miss ◽  
Southern Ethiopia ◽  
Factors Affecting ◽  
Factors Associated ◽  
Nested Case Control ◽  
Control Study ◽  
Neonatal Near Miss

Abstract Background To scale up a comprehensive way of implementation to reduce neonatal mortality evaluation of factors for neonatal near-miss cases is very important. Certain studies were done in assessing near-miss cases, but they failed in identifying the proximate factors affecting profoundly. So, this study is to fill those gaps in the aforementioned studies, in assessing the factors affecting neonatal near-miss cases. Methods A nested case-control study was conducted in selected three Hospitals of Gamo and Gofa Zones, Southern Ethiopia from April 5, 2018, to March 5, 2019. The structured standard tool was used to identify neonatal near-miss cases. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A conditional logistic regression model was used to identify factors associated with near-miss cases. The goodness of fit was tested by a log-likelihood ratio (LR). In this study P-value < 0.05 was considered to declare a result as a statistically significant association. Results In this study 121 neonatal near-miss cases, and 363 controls were involved. The identified factors that affect neonatal near-miss were multiparty (AOR = 3.81, 95%CI: 1.72, 8.42), antenatal care follow up (AOR = 0.02, 95%CI: 0.01, 0.05), premature rupture of membrane (AOR = 3.40, 95%CI: 1.53, 7.55), non-vertex presentation (AOR = 2.83, 95%CI: 1.44, 5.58), and cesarean delivery (AOR = 4.89, 95%CI: 2.34, 10.24). Conclusions Those identified factors are better should be intervened. Strengthening antenatal care services by providing appropriate information for the mother and counseling about the consequences of multiparty and providing information on family planning. There is a need to identify, screen and critical follow high-risk mothers and give immediate and appropriate intervention as early as possible.

scholarly journals Will outlining neonatal near miss events make a change? A hospital based case control study

2019 ◽  
Vol 6 (10) ◽  
pp. 4570
Author(s):  
Nittal H. Ninama ◽  
Bhavesh D. Shroff
Keyword(s):  
Pregnant Women ◽  
Case Control Study ◽  
Study Groups ◽  
Case Control ◽  
Near Miss ◽  
Sudden Infant ◽  
Live Births ◽  
Definition Of ◽  
Control Study ◽  
Neonatal Near Miss

Background: In paediatrics and neonatology, the term ‘‘near miss’’ is mostly used in the situation of adverse events during patient care. Another common use of the term is in the perspective of Sudden infant death syndrome (SIDS). No accepted definition of NNM in this setting currently exists. The definition of Neonatal near miss (NNM) used differently, can aid in assessing and improving obstetric and paediatrics practice in different settings. By identifying those neonates that escaped being apprehended as a death statistic, deficiencies in the services rendered to pregnant women may be addressed and this may lead to further improvement in care.1Methods: The unmatched case control study was conceded in Neonatal intensive care unit (NICU) at Rukamani Chainani Hospital Vadodara. Newborns admitted in NICU, having any one of criteria like birth weight less than 1500, gestational age less than 30 weeks and Apgar score less than 7 at 5 minutes, were defined as Near miss in this study.Results: Neonatal mortality rate was 22 per 1000 live births during study period, whereas neonatal near-miss rate was 87.6 per 1000 live births. In study groups average duration of stay in NICU was 10 days for neonates.Conclusions: There must be a scoring system or calculation of infant mortality index events into the system to identify near miss events which help for the restructuring and improvement of care for pregnant women and newborns.

scholarly journals Determinant Factors of Neonatal Near Miss Among Neonates in Gurage Zone Hospitals, Ethiopia: A Case-Control Study

2021 ◽  
Vol Volume 12 ◽  
pp. 129-139
Author(s):  
Haimanot Abebe ◽  
Abebaw Wasie ◽  
Alex Yeshaneh ◽  
Solomon Shitu ◽  
Ayenew Mose ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Near Miss ◽  
Determinant Factors ◽  
Control Study ◽  
Neonatal Near Miss

Persons with Disabilities and Public Health Ethics

2019 ◽  
pp. 218-231
Author(s):  
Monika Mitra ◽  
Linda Long-Bellil ◽  
Robyn Powell
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Ethical Issues ◽  
The United States ◽  
Policy And Practice ◽  
Persons With Disabilities ◽  
Public Health Decision ◽  
Health Decision ◽  
Health Policy And Practice

This chapter draws on medical, social, and legal perspectives to identify and highlight ethical issues pertaining to the treatment, representation, and inclusion of persons with disabilities in public health policy and practice. A brief history of disability in the United States is provided as a context for examining the key ethical issues related to public health policy and practice. Conceptual frameworks and approaches to disability are then described and applied. The chapter then discusses the imperativeness of expanding access to public health programs by persons with disabilities, the need to address implicit and structural biases, and the importance of including persons with disabilities in public health decision-making.

scholarly journals Television News Coverage of Public Health Issues and Implications for Public Health Policy and Practice

2019 ◽  
Vol 40 (1) ◽  
pp. 167-185 ◽  
Author(s):  
Sarah E. Gollust ◽  
Erika Franklin Fowler ◽  
Jeff Niederdeppe
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Television News ◽  
News Coverage ◽  
Health Issues ◽  
Public Attention ◽  
Policy And Practice ◽  
Tv News ◽  
Health Policy And Practice

Television (TV) news, and especially local TV news, remains an important vehicle through which Americans obtain information about health-related topics. In this review, we synthesize theory and evidence on four main functions of TV news in shaping public health policy and practice: reporting events and information to the public (surveillance); providing the context for and meaning surrounding health issues (interpretation); cultivating community values, beliefs, and norms (socialization); and attracting and maintaining public attention for advertisers (attention merchant). We also identify challenges for TV news as a vehicle for improving public health, including declining audiences, industry changes such as station consolidation, increasingly politicized content, potential spread of misinformation, and lack of attention to inequity. We offer recommendations for public health practitioners and researchers to leverage TV news to improve public health and advance health equity.

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