Duration of the active first stage of labour partially mediated the relationship between primiparous (ß = -0.345), fetal malposition (ß = -0.656), premature rupture of membranes (ß = -0.550) and Neonatal Near-Miss at P- value <0.01.It had also a significant indirect effect (ß = 0.581, P<0.001) on NNM with variables (primiparous, fetal malposition, and premature rupture of membranes).
Grade III meconium stained amniotic fluid partially mediated the relationship between primiparous (ß = 0.517), fetal malposition (ß = 0.526), pregnant women referred from other health facilities (ß = 0.948) and Neonatal Near-Miss at P-value < 0.01. The adjusted odds ratio (AOR) and ß-coefficients were calculated and reported with a 95% confidence interval and a p-value of 0.05. The paths from exposure variables to Neonatal Near-Miss via mediators were examined using multiple logistic regression analysis. Data were entered into Epi-Info version 7.1.2 and exported to STATA version 16 in California, America for analysis. A validated interviewer-administered questionnaire and a review of medical records were used to collect data. This study aimed to investigate the Neonatal Near-miss determinants in public health hospitals in Amhara Regional State, northwest Ethiopia.Ī cross-sectional study was conducted on 1277 mother-newborn pairs at six hospitals between July 2021 and January 2022. However, studies causal pathway determinants are limited in Ethiopia. The generation of evidence on neonatal near-miss determinants could be a critical step in reducing neonatal mortality rates. For every newborn that dies, many more neonates survived (near-miss neonates) the first 28 days after birth from life-threatening conditions. Meconium aspiration.In many low-income countries, including Ethiopia, neonatal mortality remains a major concern. A population-based study of meconium aspiration syndrome in neonates born between 37 and 43 weeks of gestation. Respiratory support in meconium aspiration syndrome: A practical guide. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. A study in the International Journal of Pediatrics estimated that about 0.18% of full-term newborns could experience this condition. MAS is a rare complication during childbirth.
MAS also increases the likelihood of serious infections, such as pneumonia, which can be particularly severe in a newborn, as their immune system is not yet mature.
The condition usually affects full-term newborns born at 37–41 weeks of pregnancy who are small for their gestational age or post-term newborns born after 42 weeks of pregnancy. The resulting signs include difficulty breathing and a bluish tint to the skin. The condition can become severe and cause part of the lung to collapse.
If a baby breathes in amniotic fluid and meconium, these substances can reach their lungs, blocking the airways. Amniotic fluid surrounds the fetus in the uterus. Meconium passes out of the newborn’s body as their first stool. Meconium is a dark green sticky substance comprising materials that the fetus ingested while in the uterus. MAS occurs when a newborn breathes in a mixture of amniotic fluid and meconium. Share on Pinterest Image credit: Jill Lehmann Photography/Getty Images
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