Associated factors of neonatal near miss among newborns of adolescent mothers in Brazil.
Thamara de Souza Campos Assis, Katrini Guidolini Martinelli, Silvana Granado Nogueira da Gama and 1 others
PMID 35652629WHAT IT FOUND
Newborns of adolescent mothers had similar near-miss rates at ages 12 to 16 and 17 to 19.
Risk clustered with inadequate prenatal care, public delivery, trouble finding a maternity hospital, multiple pregnancy, maternal near miss, and previous low birth weight.
Key findings
01Neonatal near miss was found in 9.5% of newborns to mothers aged 12 to 16 and 9.3% of newborns to mothers aged 17 to 19, with no statistically significant difference between the age groups.
02After adjustment, higher odds of neonatal near miss were associated with inadequate prenatal care (OR 1.60), public payment for delivery (OR 4.57), having to seek help in different maternity hospitals (OR 1.52), multiple pregnancy (OR 7.42), maternal near miss (OR 5.92), and a record of low birth weight in a previous pregnancy (OR 3.12).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a cross-sectional analysis, so it reports associations rather than proof that the factors caused neonatal near miss. The data were collected from 2011 to 2012, and the authors noted the time since data collection as a limitation. Hospitals with fewer than 500 births per year were not included, and these represented 22.9% of births in Brazil. The authors said the public payment association could not be interpreted as worse quality of care because disease severity is a confounding factor.
The easy way to misread this
Do not read the 9.5% and 9.3% rates as showing that younger adolescent mothers are at higher risk. The study found no statistically significant difference between the 12 to 16 and 17 to 19 age groups.