{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T08:03:21Z","timestamp":1773475401690,"version":"3.50.1"},"reference-count":34,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Neonates with severe complications at birth or during the neonatal period who nearly died but survived constitute neonatal near miss (NNM) cases. Identifying NNM cases and correcting contributing factors are of the utmost importance to get relevant controls for neonatal deaths. However, limited studies are assessing the prevalence of NNM and associated factors with NNM cases in Ethiopia. So, this study is aimed at assessing the magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma zone, southwest Ethiopia, 2020.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A facility-based cross-sectional study was conducted among 260 neonates from April 1\u201330 \/ 2020. Face to face interviewer-administered structured questionnaire was used to collect data from the mothers and a standard checklist was used for their neonates. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. Independent variables with marginal associations (p-value &lt;0.25) in the bivariable analysis were eligible for multivariable logistic regression analysis to detect an association with outcome variables. Finally, adjusted odds ratios (AOR) with 95% CI were used to estimate the strength of associations, and statistical significance was declared at a p-value &lt; 0.05.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Result<\/jats:title>\n<jats:p>The magnitude of NNM was 26.7% with [95%CI: 21.6\u201332.5]. Hypertension during pregnancy [AOR: 3.4; 95%CI: 1.32\u20138.88], mode of delivery [AOR: 3.32; 95%CI: 1.48\u20137.45], Obstructed labor [AOR: 2.95; 95%CI: 1.32\u20136.45] and non-vertex fetal presentation during delivery [AOR: 4.61; 95%CI: 2.16\u20139.84] were identified as significantly predictors of NNM.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion and recommendation<\/jats:title>\n<jats:p>Over a quarter of the neonates were with NNM cases, which is relatively higher than the report of studies done in other countries. Hypertension during pregnancy, cesarean delivery, prolonged labor, and non-vertex fetal presentation were all found to increase the likelihood of NNM. Therefore, concerted efforts are needed from local health planners and health care providers to improve maternal health care services especially in early identification of the complications and taking appropriate management.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0251609","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T20:05:47Z","timestamp":1621022747000},"page":"e0251609","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":17,"title":["The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study"],"prefix":"10.1371","volume":"16","author":[{"given":"Merertu","family":"Wondimu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fikadu","family":"Balcha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girma","family":"Bacha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5719-4294","authenticated-orcid":true,"given":"Aklilu","family":"Habte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"key":"pone.0251609.ref001","volume-title":"Every newborn: An action plan to end preventable deaths: Executive summary","author":"WHO","year":"2014"},{"issue":"14","key":"pone.0251609.ref002","article-title":"Every Newborn 2 Progress, priorities, and potential beyond survival","volume":"6736","author":"JE Lawn","year":"2015","journal-title":"Reprod Health"},{"key":"pone.0251609.ref003","article-title":"When do newborns die? A systematic review of the timing of overall and cause-specific fi c neonatal deaths in developing countries","author":"MJ Sankar","year":"2016","journal-title":"J Pediatr (Rio J)"},{"key":"pone.0251609.ref004","unstructured":"United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), \u2018Levels & Trends in Child Mortality: Report 2019, Estimates developed by the United Nations Inter-agency Group for Child Mortality Estimation, United Nations Children\u2019s Fund, New 2019. Child Mortality 2019."},{"key":"pone.0251609.ref005","unstructured":"Near-miss and quality of care tool. Available at: Http:\/\/www.abdn.ac.uk\/Femhealth\/. Near-miss and quality of care tool."},{"key":"pone.0251609.ref006","first-page":"1","article-title":"Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study","author":"T Henrique","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"pone.0251609.ref007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/8594158","article-title":"Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus","volume":"2019","author":"LR Morais","year":"2019","journal-title":"Hindawi Obstet Gynecol Int"},{"issue":"1","key":"pone.0251609.ref008","first-page":"1","article-title":"Neonatal near miss: a potentially useful approach to assess the quality of newborn care","volume":"86","author":"L Say","year":"2010","journal-title":"J Pediatr (Rio J)"},{"issue":"121","key":"pone.0251609.ref009","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/1471-0528.12637","article-title":"Development of criteria for identifying neonatal near-miss cases: analysis of two WHO multicountry cross-sectional studies","author":"C Pileggi-Castro","year":"2014","journal-title":"BJOG"},{"issue":"12","key":"pone.0251609.ref010","doi-asserted-by":"crossref","first-page":"820","DOI":"10.6061\/clinics\/2015(12)10","article-title":"Neonatal Near Miss: the need for a standard definition and appropriate criteria and the rationale for a prospective surveillance system","volume":"2015","author":"JP Santos","year":"2015","journal-title":"Clinics"},{"issue":"1","key":"pone.0251609.ref011","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4172\/2167-0897.1000246","article-title":"Journal of Neonatal Biology Sub-Sahara African Neonates\u2013Ghosts to Statistics","volume":"6","author":"BM Afolabi","year":"2017","journal-title":"J Neonatal Biol"},{"key":"pone.0251609.ref012","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1038\/sj.jp.7210743","article-title":"State of the Art Morbidity and Mortality in Developing Country Communities","volume":"22","author":"W Moss","year":"2000","journal-title":"J Perinatol"},{"key":"pone.0251609.ref013","volume-title":"Ethiopia Mini Demographic and Health Survey 2019: Key Indicators","author":"Ethiopian Public Health Institute (EPHI) [Ethiopia] and ICF","year":"2019"},{"issue":"2","key":"pone.0251609.ref014","first-page":"264","article-title":"Neonatal near miss review: Tracking its conceptual evolution and way","volume":"21","author":"S Surve","year":"2017","journal-title":"Curr Pediatr Res"},{"issue":"1","key":"pone.0251609.ref015","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1590\/1806-93042017000100009","article-title":"sA populational-based study on the prevalence of neonatal near-miss in a city located in the south of Brazil: Prevalence and associated factors","volume":"17","author":"GA Silva","year":"2017","journal-title":"Rev Bras Saude Matern Infant"},{"key":"pone.0251609.ref016","first-page":"1","article-title":"Stillbirths, neonatal deaths, and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda","author":"A Nakimuli","year":"2015","journal-title":"BMC Pediatr"},{"key":"pone.0251609.ref017","first-page":"262","article-title":"Long-term Medical and Social Consequences of Preterm Birth","author":"D Moster","year":"2008","journal-title":"J Med"},{"issue":"1","key":"pone.0251609.ref018","first-page":"21","article-title":"Neonatal near miss approach in the 2005 WHO Global Survey Brazil","volume":"86","author":"C Pileggi","year":"2010","journal-title":"J Pediatr (Rio J)"},{"issue":"10","key":"pone.0251609.ref019","doi-asserted-by":"crossref","first-page":"4570","DOI":"10.18203\/2394-6040.ijcmph20194520","article-title":"Will outlining neonatal near miss events make a change? A hospital-based case-control study.","volume":"6","author":"NH Ninama","year":"2019","journal-title":"J Community Med Public Heal"},{"key":"pone.0251609.ref020","first-page":"S1","article-title":"Neonatal near miss in the Birth in Brazil survey","volume":"30","author":"AAM our. da Silva","year":"2014","journal-title":"Cad Saude Publica"},{"issue":"3","key":"pone.0251609.ref021","first-page":"433","article-title":"Sustainable Development Goal 3. Ensure healthy lives and promote well-being for all at all ages. Progress of goal 3 in 2017. Reproductive, maternal, newborn and child health, 2017","volume":"16","year":"2016","journal-title":"Int Environ Agreements Polit Law Econ"},{"issue":"3","key":"pone.0251609.ref022","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.bpobgyn.2008.12.005","article-title":"Neonatal near miss: a measure of the quality of obstetric care","volume":"23","author":"T Avenant","year":"2009","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"pone.0251609.ref023","first-page":"1","article-title":"Factors associated with neonatal near-miss in selected hospitals of Gamo and Gofa zones, southern Ethiopia: nested case- control study","author":"A Mersha","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"pone.0251609.ref024","author":"D Rodrigues","year":"2019","journal-title":"Neonatal Morbidity Near Miss In Tertiary Hospitals in A Capital Of Northeast Brazil Morbidade neonatal near miss em hospitais"},{"issue":"4","key":"pone.0251609.ref025","first-page":"1","volume":"33","author":"PL Kale","year":"2017","journal-title":"Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil Casos de near miss e \u00f3bitos neonatais: fatores associados aos rec\u00e9m-nascidos com amea\u00e7a \u00e0 vida em sei"},{"key":"pone.0251609.ref026","first-page":"182","author":"\u00c1 Jorge","year":"2014","journal-title":"Morbidade neonatal near miss na pesquisa Nascer no Brasil Neonatal near miss in the Birth in Brazil survey Morbilidad neonatal near miss en la encuesta Nacer en Brasil"},{"issue":"1","key":"pone.0251609.ref027","first-page":"50","article-title":"A Call for Eminence Obstetrics Care by Way of \u201cNeonatal Near Miss\u201d Events (NNM): A Hospital-Based Case-Control Study","volume":"69","author":"BD Shroff","year":"2019","journal-title":"J Obstet Gynecol IndiaInternet]"},{"issue":"12","key":"pone.0251609.ref028","doi-asserted-by":"crossref","first-page":"e00222218","DOI":"10.1590\/0102-311x00222218","article-title":"Advanced maternal age and factors associated with neonatal near miss in nulliparous and multiparous women","volume":"35","author":"KG Martinelli","year":"2019","journal-title":"Cad Saude Publica"},{"issue":"02","key":"pone.0251609.ref029","first-page":"4","article-title":"Maternal Outcome of Pregnant Mothers with Hypertensive Disorder of Pregnancy at Hospitals in Wolaita Zone, Southern Ethiopia","volume":"04","author":"MS Obsa","year":"2018","journal-title":"J Pregnancy Child Heal"},{"issue":"211","key":"pone.0251609.ref030","first-page":"674","volume":"56","author":"S Maskey","year":"2018","journal-title":"Predisposing Factors and Outcome of Malpresentations in an Institute"},{"issue":"Suppl 2","key":"pone.0251609.ref031","first-page":"1","article-title":"A prospective population-based study of maternal, fetal, and neonatal outcomes in the setting of prolonged labor, obstructed labor, and failure to progress in low- and middle-income countries","volume":"12","author":"MS Harrison","year":"2015","journal-title":"Reprod Health"},{"key":"pone.0251609.ref032","article-title":"Risk of Severe Adverse Maternal and Neonatal Outcomes in Deliveries with Repeated and Primary Cesarean Deliveries versus Vaginal Deliveries: A Cross-Sectional Study","volume":"2020","author":"K Kongwattanakul","year":"2020"},{"key":"pone.0251609.ref033","doi-asserted-by":"crossref","first-page":"197","DOI":"10.11604\/pamj.2016.23.197.7401","article-title":"Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco","volume":"23","author":"S Benzouina","year":"2016","journal-title":"Pan Afr Med J"},{"issue":"1","key":"pone.0251609.ref034","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13037-020-00236-8","article-title":"Prevalence, indications, and outcomes of caesarean section deliveries in Ethiopia: A systematic review and meta-analysis","volume":"14","author":"G Gedefaw","year":"2020","journal-title":"Patient Saf Surg"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0251609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T20:06:45Z","timestamp":1621022805000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0251609"}},"subtitle":[],"editor":[{"given":"Kazumichi","family":"Fujioka","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,5,14]]},"references-count":34,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,14]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0251609","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,14]]}}}