Factors associated with neonatal near miss in a Midwest capital in Brazil

Q3 Medicine

Revista Brasileira de Saude Materno Infantil Pub Date : 2023-06-23 DOI:10.1590/1806-9304202300000244-en

Priscilla Shirley Siniak dos Anjos Modes, M. A. Gaíva, A. C. D. S. Andrade, L. V. Guimarães

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Abstract

Abstract Objectives: to estimate neonatal near miss rates and investigate sociodemographic, obstetric, childbirth, and neonate factors residing in a Midwest capital city. Methods: observational cohort study of live births from Cuiabá in the period of 2015 to 2018, with data from the Sistemas de Informações sobre Mortalidade e sobre Nascidos Vivos (Mortality and Live Birth Information Systems). The neonatal near miss rate was calculated according to sociodemographic, obstetric, childbirth, and neonate variables. Logistic regression model was adjusted to analyze the factors associated with neonatal near miss. Results: the neonatal near miss rate was 22.8 per thousand live births and the variables showed an association with the outcome were: maternal age 35 years or older (OR=1.53; CI95%=1.17-2.00), having fewer than six prenatal consultations (OR=2.43; CI95%=2.08-2.86), non-cephalic fetal presentation (OR=3.09; CI95%=2.44-3.92), multiple pregnancy (OR=3.30; CI95%=2.57- 4.23), no live birth (OR=1.62; CI95%=1.34-1.96) or one live birth (OR=1.22; CI95%=1.00-1.48), delivery in public/university hospital (OR=2.16; CI95%=1.73-2.71) and philanthropic hospital (OR=1.51; CI95%=1.19-1.91) and non-induced labor (OR=1.50; CI95%=1.25-1.80). Conclusion: the neonatal near miss rate was 3.04 cases for each death, and neonatal near miss was influenced by maternal characteristics, obstetric history, type of birth hospital, and delivery care organization.

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在巴西中西部的一个首都，新生儿差点漏诊的相关因素

摘要:目的:估计新生儿近漏率，调查居住在中西部首府城市的社会人口统计学、产科、分娩和新生儿因素。方法:对2015年至2018年库亚ab地区的活产婴儿进行观察性队列研究，数据来自Informações死亡率和活产信息系统(死亡率和活产信息系统)。根据社会人口学、产科、分娩和新生儿变量计算新生儿近漏诊率。结果:新生儿近漏率为22.8 /千活产，与结局相关的变量为:母亲年龄35岁及以上(or =1.53;CI95%=1.17-2.00)，产前咨询少于6次(OR=2.43;CI95%=2.08-2.86)，非头位胎儿呈现(OR=3.09;CI95%=2.44-3.92)、多胎妊娠(OR=3.30;CI95%=2.57- 4.23)，无活产(OR=1.62;CI95%=1.34-1.96)或1例活产(or =1.22;CI95%=1.00-1.48)，在公立/大学医院分娩(OR=2.16;CI95%=1.73 ~ 2.71)和慈善医院(OR=1.51;CI95%=1.19-1.91)和非引产(OR=1.50;CI95% = 1.25 - -1.80)。结论:新生儿近漏产率为3.04例/例，新生儿近漏产受产妇特征、产科史、分娩医院类型、分娩护理机构等因素影响。

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来源期刊

Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.