{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:28:09Z","timestamp":1759937289382},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,3,4]],"date-time":"2016-03-04T00:00:00Z","timestamp":1457049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to explore the usefulness of neonatal near miss in low\u2010 and middle\u2010income countries by examining the incidence of neonatal near miss and pre\u2010discharge neonatal deaths across various obstetric risk categories in 17 hospitals in Benin, Burkina Faso and Morocco.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected on all maternal deaths, maternal near miss, neonatal near miss (based on organ\u2010dysfunction markers), Caesarean sections, stillbirths, neonatal deaths before discharge and non\u2010cephalic presentations, and on a sample of births not falling in any of the above categories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The burden of stillbirth, pre\u2010discharge neonatal death or neonatal near miss ranged from 23 to 129 per 1000 births in Moroccan and Beninese hospitals, respectively. Perinatal deaths (range 17\u201389 per 1000 births) were more common than neonatal near miss (range 6\u201343 per 1000 live births), and between a fifth and a third of women who had suffered a maternal near miss lost their baby. Pre\u2010discharge neonatal deaths and neonatal near miss had a similar distribution of markers of organ dysfunction, but unlike pre\u2010discharge neonatal deaths most neonatal near miss (63%, 81% and 71% in Benin, Burkina Faso and Morocco, respectively) occurred among babies who were not considered premature, low birthweight or with a low 5\u2010min Apgar score as defined by <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>'s pragmatic markers of severe neonatal morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Whether the measurement of neonatal near miss adds useful insights into the quality of perinatal or newborn care in settings where facility\u2010based intrapartum and early newborn mortality is very high is uncertain. Perhaps the greatest advantage of adding near miss is the shift in focus from failure to success so that lessons can be learned on how to save lives even when clinical conditions are life\u2010threatening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12682","type":"journal-article","created":{"date-parts":[[2016,2,20]],"date-time":"2016-02-20T15:21:01Z","timestamp":1455981661000},"page":"535-545","source":"Crossref","is-referenced-by-count":19,"title":["Characteristics of neonatal near miss in hospitals in Benin, Burkina Faso and Morocco in 2012\u20132013"],"prefix":"10.1111","volume":"21","author":[{"given":"Carine","family":"Ronsmans","sequence":"first","affiliation":[{"name":"London School of Hygiene and Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny A.","family":"Cresswell","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sourou","family":"Goufodji","sequence":"additional","affiliation":[{"name":"CERRHUD Cotonou Benin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Schadrac","family":"Agbla","sequence":"additional","affiliation":[{"name":"CERRHUD Cotonou Benin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasman\u00e9","family":"Ganaba","sequence":"additional","affiliation":[{"name":"Centre Muraz Bobo Dioulasso Burkina Faso"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bouchra","family":"Assarag","sequence":"additional","affiliation":[{"name":"INAS Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Tonouh\u00e9oua","sequence":"additional","affiliation":[{"name":"CERRHUD Cotonou Benin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheick","family":"Diallo","sequence":"additional","affiliation":[{"name":"Centre Muraz Bobo Dioulasso Burkina Faso"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima\u2010Zahra","family":"Meski","sequence":"additional","affiliation":[{"name":"INAS Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00e9ronique","family":"Filippi","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,4]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Evaluating the Quality of Care of Severe Pregnancy Complications. 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