From: Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study
Variables | Neonatal Near miss | UOR(95%CI) | Model-I | Model-II | Model-III | |
---|---|---|---|---|---|---|
Yes | No | AOR(95%CI) | AOR(95%CI) | AOR(95%CI) | ||
Distant factors | ||||||
Place of residence | ||||||
Rural | 73 (5.7) | 1204 (94.3) | 1.65 (1.14–2.39) | 1.34 (0.91–1.99) | 1.08 (0.70–1.65) |  |
Urban | 49 (3.6) | 1331 (96.4) | 1 | 1 | 1 | Â |
Maternal education | ||||||
Primary and below | 98 (8.3) | 1077 (91.7) | 5.53 (3.51–8.70) | 3.14 (1.93–5.10) | 2.11 (1.27–3.52) | 1.63 (0.94–2.84) |
Secondary and above | 24 (1.6) | 1458 (98.4) | 1 | 1 | 1 | 1 |
Paternal education | ||||||
Primary and below | 83 (8) | 951 (92) | 3.55 (2.40–5.23) | 1.72 (1.12–2.63) | 1.44 (0.91–2.23) | 1.32 (0.80–2.19) |
Secondary and above | 39 (2.4) | 1584 (97.6) | 1 | 1 | 1 | 1 |
Maternal occupation | ||||||
Housewife | 100 (5.4) | 1767 (94.6) | 1.98 (1.24–3.16) | 0.95 (0.57–1.57) |  |  |
Other | 22 (2.8) | 768 (97.2) | 1 | 1 | Â | Â |
Paternal occupation | ||||||
Farmer | 45 (9.6) | 425 (90.4) | 2.90 (1.98–4.25) | 1.58 (1.04–2.40) | 1.50 (0.94–2.40) | 1.08 (0.63–1.84) |
Others | 77 (3.5) | 2108 (96.5) | 1 | 1 | 1 | 1 |
Monthly income | ||||||
 < =79 | 72 (12.5) | 504 (87.5) | 8.23 (4.32–15.70) | 4.72 (2.41–9.25) | 2.96 (1.45–6.03) | 2.34 (1.10–4.99) |
80–121 | 34 (4.2) | 783 (95.8) | 2.50 (1.26–4.98) | 1.98 (0.98–4.01) | 1.78 (0.89–3.71) | 1.34 (0.61–2.92) |
122–155 | 5 (0.8) | 614 (99.2) | 0.47 (0.16–1.36) | 0.44 (0.15–1.27) | 0.48 (0.16–1.41) | 0.47 (0.15–1.43) |
 > 155 | 11 (1.7) | 634 (98.3) | 1 | 1 | 1 | 1 |
Intermediate factors | ||||||
Birth interval | ||||||
 < 24 months | 72 (22.2) | 253 (77.8) | 16.80 (10.05–28.06) |  | 8.52 (4.88–14.88) | 4.68 (2.52–8.67) |
 > =24 months | 20 (1.7) | 1180 (98.3) | 1 |  | 1 | 1 |
First birth | 30 (2.7) | 1102 (97.3) | 1.61 (0.91–2.85) |  | 1.69 (0.94–3.70) | 1.42 (0.77–2.66) |
Type of pregnancy | ||||||
Planned | 96 (3.8) | 2411 (96.2) | 1 | Â | 1 | 1 |
Unplanned | 26 (17.3) | 124 (82.7) | 5.27 (3.29–8.42) |  | 1.97 (1.09–3.56) | 1.54 (0.78–3.01) |
ANC service utilization | ||||||
Yes | 90 (3.6) | 2414 (96.4) | 1 | Â | 1 | 1 |
No | 32 (20.9) | 121 (79.1) | 7.09 (4.56–11.05) |  | 2.05 (1.17–3.59) | 1.65 (0.86–3.16) |
Frequency of ANC | ||||||
1–3 visits | 67 (4.8) | 1326 (95.2) | 2.39 (1.48–3.86) |  |  |  |
 > =4 visits | 23 (2.1) | 1088 (97.9) | 1 |  |  |  |
Women’s referred from other health facility | ||||||
Referred | 73 (10.1) | 651 (89.9) | 4.31 (2.97–6.26) |  | 2.12 (1.38–3.27) | 1.32 (0.81–2.16) |
Not Referred | 49 (2.5) | 1884 (97.5) | 1 | Â | 1 | 1 |
Proximal factors | ||||||
Mode of delivery | ||||||
Vaginal delivery | 70 (3.4) | 1995 (96.6) | 0.36 (0.25–0.53) |  |  | 0.67 (0.40–1.10) |
Caesarean section | 52 (8.8) | 540 (91.2) | 1 | Â | Â | 1 |
Infant sex | ||||||
Female | 44 (3.5) | 1203 (96.5) | 1 | Â | Â | 1 |
Male | 78 (5.5) | 1332 (94.5) | 1.60 (1.10–2.34) |  |  | 1.48 (0.93–2.37) |
Maternal complications | ||||||
Yes* | 78 (42.4) | 106 (57.6) | 40.62 (26.76–61.68) |  |  | 12.86 (7.82–21.15) |
No | 44 (1.8) | 2429 (98.2) | 1 | Â | Â | 1 |
Log-likelihood | – | − 830 | −700 | − 587 | ||
AIC | – | 1688 | 1440 | 1222 | ||
Adjusted-R2 | – | 0.188 | 0.333 | 0.453 | ||
VIF | – | 1.23 | 1.50 | 1.83 |