September 1, 2019 Journal article Open Access

EDOSA AMANTE EDOSA AMANTE GUTAMA

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    <subfield code="a">NEONATAL NEAR-MISS  NEONATES ADMITTE  ASSOCIATED FACTORS AMONG  INTENSIVE CARE  MISS AND ASSOCIATED FACTORS AMONG  ADMITTED TO NEONATAL INTENSIVE CARE  HOSPITALS IN EAST WOLLEGA ZONE  HOSPITALS IN EAST WOLLEGA ZONE, WEST  UNIT OF HOSPITALS IN EAST WOLLEGA ZONE  ETHIOPIA, 2019</subfield>
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    <subfield code="a">&lt;p&gt;Background: -Neonatal near miss is an infant who nearly died but survived from birth to 28 days of birth. Neonatal period is the most vulnerable time for a child&amp;rsquo;s health and their survival. No adequate study conducted on neonatal near miss worldwide, low in Africa and only one in Ethiopia. A little is known about neonatal near miss and associated factors in Hospitals in East Wollega Zone, West Ethiopia. Objective: Aim of this study was to assess neonatal near-miss and associated factors among neonates admitted to intensive care unit at hospitals in East Wollega, West Ethiopia, 2019. Methods: - Quantitative, facility based cross-sectional study was conducted from July 15 to August 30, 2019 among neonates admitted to Neonatal Intensive Care Units of Hospitals in East Wollega Zone on 403 samples. After ethical clearance, data was collected using pretested structured questionnaire by five Nurses using Systematic random sampling. Data were entered into Epi-info version 7.1 and exported to SPSS Version 24. P-value &amp;lt; 0.05 at 95% CI were used as statistically significant from multivariable model. Results: From a total of 403(100%) response rate, 196 (48.6%) neonates were near miss. Mothers who lives in rural [Adjusted Odd Ratio (3.84), 95% CI: (1.78, 8.31)], Cesarean Section [(AOR=10.68), 95%, CI :( 2.95, 38.71)], neonates referred to hospitals [(AOR: 3.32), CI (3.27, 1201)]. APGAR score less than7 at 1st minute [(AOR=3.99), CI (1.63, 9.79)], female neonates [AOR (2.99), CI (1.45, 6.14)] and multiple birth [(AOR: 3.07), 95% CI (1.32, 7.16)], were associated with Neonatal Near-miss. Conclusions and recommendation: Neonatal near-miss in this study was found to be high compared to previously existing researches. Residency, home delivery, sex, source from neonate came to hospital were found to be factors associated with Neonatal Near Miss. Health institutions, health professionals, and concerned bodies with planning and implementation of neonatal care in Ethiopia need to consider these factors for pregnant women during pregnancy, delivery and for neonates immediate after birth and in Neonatal Intensive Care Units. Key terms: associated factors, neonatal near miss, neonatal period&lt;/p&gt;</subfield>
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