Table 7.
Determinants of NNM among neonates admitted (n = 303) to public hospitals of Ilu Abba Bor Zone, 2020.
| Variables | Neonatal near miss | COR (95% CI) | AOR (95% CI) | |
|---|---|---|---|---|
| Case N° | Control N° | |||
| Residence of mother | ||||
| Urban | 29 | 81 | 1.00 | 1.00 |
| Rural | 72 | 121 | 1.66 (0.99–2.78) | 1.04 (0.54–1.99) |
| Distance from health facility | ||||
| <1 h/5 km | 62 | 152 | 1.00 | 1.00 |
| ≥1 h/≥5 km | 39 | 50 | 1.91 (1.15–3.19) | 1.07 (0.54–2.13) |
| Educational level of mother | ||||
| No formal education | 20 | 12 | 3.70 (1.28–10.73) | 3.53 (1.19–10.45)*** |
| Primary | 42 | 84 | 1.11 (.47–2.65) | 1.81 (0.91–3.60) |
| Secondary | 30 | 86 | 0.78 (.318–1.89) | 0.28 (0.07–1.11) |
| More than secondary | 9 | 20 | 1.00 | 1.00 |
| Parity | ||||
| Primipara | 47 | 85 | 1.00 | 1.00 |
| Multipara | 39 | 105 | 0.44 (.191–1.02) | 0.60 (0.33–1.10) |
| Grand multipara | 15 | 12 | 0.30 (0.13–0.69) | 0.52 (0.14–1.90) |
| Fetal presentation during birth | ||||
| Cephalic | 79 | 184 | 1.00 | 1.00 |
| Breech | 14 | 10 | 3.26 (1.39–7.65) | 3.09 (1.03–9.27)** |
| Transverse/brow/face | 8 | 8 | 2.33 (0.84–6.43) | 1.28 (0.36–4.54) |
| Current pregnancy type | ||||
| Wanted planned | 66 | 141 | 1.00 | 1.00 |
| Wanted unplanned | 18 | 38 | 1.01 (.54–1.90) | 0.961 (0.445–2.073) |
| Unwanted unplanned | 17 | 23 | 1.579 (.79–3.15) | 1.158 (0.455–2.952) |
| Number of ANC visit | ||||
| <4 visits | 58 | 90 | 2.06 (1.22–3.49) | 1.92 (1.07–3.46) *** |
| ≥4 visits | 30 | 96 | 1.00 | 1.00 |
| Mode of delivery | ||||
| SVD | 54 | 136 | 1.00 | 1.00 |
| C/S | 20 | 13 | 3.87 (1.80–8.34) | 4.35 (1.72–10.99) ** |
| Instrumental | 27 | 53 | 1.28 (0.73–2.25) | 1.01 (0.52–1.97) |
| APH | ||||
| No | 194 | 85 | 1.00 | 1.00 |
| Yes | 8 | 16 | 4.56 (1.88–11.07) | 3.37 (1.23–9.24)*** |
| HDP | ||||
| No | 194 | 89 | 1.00 | 1.00 |
| Yes | 8 | 12 | 3.27 (1.29–8.28) | 4.05 (2.36–11.05)*** |
**
Indicates p–value of ≤ 0.01 and
***
p–value of < 0.001; ANC, antenatal care; APH, antepartum hemorrhage; C/S, cesarean Section; HDP, hypertensive disorder of pregnancy; SVD, spontaneous vaginal delivery.