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Maternal socio-biological and obstetric factors associated with neonatal near miss at a specialised public mother and child hospital in Johannesburg, South Africa: A case control study

Chileshe Mpehle(1), Firdose Nakwa(2), Joy Fredericks(3), Gbenga Olorunfemi(4), Lawrence Chauke(5),


(1) Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Science, University of the Witwatersrand , Johannesburg , South Africa. Chris Hani Baragwanath Academic Hospital, Gauteng Department of Health, Johannesburg South Africa
(2) Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg , South Africa. Chris Hani Baragwanath Academic Hospital, Gauteng Department of Health, Johannesburg South Africa
(3) Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg , South Africa. Rahima Moosa Mother and Child Academic Hospital, Gauteng Department of Health, Johannesburg , South Africa
(4) Division of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
(5) Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Science, University of the Witwatersrand , Johannesburg , South Africa. Charlotte Maxeke Johannesburg Academic Hospital, Gauteng Department of Health, Johannesburg, South Africa
Corresponding Author

Abstract


The aim of this case-control study was to assess neonatal near miss rate and associated maternal socio-biological and obstetric factors at a specialised mother and child teaching hospital in Johannesburg, South Africa. The study population comprised of 744 mother-infant pairs (372 near misses and 372 control). The neonatal near miss rate was 110 per 1000 deliveries. The mean maternal age and median parity for the study population were 28.07 (±5.97) years and 2(IQR: 1-2) respectively. Advanced maternal age, substance abuse underweight, preterm delivery, pregnancy specific antenatal disorders, delivery by interns and registrar doctors were statistically associated with neonatal near miss (NNM). Attention should be paid to these factors in order to improve neonatal outcomes.

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