From: Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study
Criteria | NNM (%) | Incidence of NNM/1000 live births | NM (%) | Incidence of NMR per 1000 live births |
---|---|---|---|---|
Pragmatic criteria | 118 (53.3) | 43.6 | 47 | 17.4 |
 Gestational age (weeks) < =33 | 59 (35.3) | 21.8 | 35 (35.7) | 12.9 |
 APGAR Score < 7 | 106 (63.5) | 39.2 | 46 (46.9) | 17.0 |
 Birthweight (g) < =1750 | 2 (1.2) | 0.7 | 17 (17.3) | 6.3 |
Clinical and Management criteria | 45 | 16.6 | 39 | 14.4 |
 Respiratory rate > 70/min | 1 (2.2) | 0.4 | 6 (6.3) | 2.2 |
 Cyanosis | 19 (42.2) | 7.0 | 22 (23.2) | 8.1 |
 Absence of regular breathing | 0 (0) | 0 | 24 (25.3) | 8.9 |
 Any intubation | 3 (6.7) | 1.1 | 2 (2.1) | 0.7 |
 Cardiac arrest | 2 (4.4) | 0.7 | 2 (2.1) | 0.7 |
 Cardiopulmonary resuscitation | 9 (20) | 3.3 | 12 (12.6) | 4.4 |
 Persistent bradycardia < 80 bpm | 1 (2.2) | 0.4 | 0 (0) | 0 |
 Persistent tachycardia > 200 bpm | 4 (8.9) | 1.5 | 1 (1.1) | 0.4 |
 Use of vasoactive drug | 0 (0) | 0 | 1 (1.1) | 0.4 |
 Blood transfusion | 6 (13.3) | 2.2 | 2 (2.1) | 0.7 |
 Use of anticonvulsant | – | – | – | – |
 Inability to suck within 12 h | 15 (33.3) | 5.5 | 5 (5.3) | 1.8 |
 Visible jaundice in first 24 h | 5 (11.1) | 1.8 | 7 (7.4) | 2.6 |
 Phototherapy | 6 (13.3) | 2.2 | 6 (6.3) | 2.2 |
 Any active non-traumatic bleeding | 1 (2.2) | 0.4 | 0 | 0 |
 Haematuria | – | – | – | – |
 Anuria > 24 h | – | – | – | – |
 Apathetic, poor tolerance of feeds within 12 h | 2 (4.4) | 0.7 | 2 (2.1) | 0.7 |
 Abdominal distension and vomiting | – | – | – | – |
 Parenteral antibiotics | 9 (20) | 3.3 | 3 (3.2) | 1.1 |