A Call for Eminence Obstetrics Care by Way of “Neonatal Near Miss” Events (NNM): A Hospital-Based Case–Control Study

Background A neonatal near miss (NNM) case would refer to an infant who nearly died but survived during birth or within 28 days of extra-uterine life. The near miss concept is being increasingly used as a tool to evaluate and improve the quality of care, especially obstetric care. All “near miss” should be inferred as free lesson and opportunities to improve the quality of service endowment. Methods A hospital based case control study was conducted in a tertiary care hospital of central Gujarat to measure factors associated with NNM events. Mothers of those newborns, who had been admitted for critical care, and survived, were included as cases, after their discharge. Controls were selected from same settings who were not falling into defined criteria of NNM. Various antenatal factors were compared among the two groups. Results The number of neonatal near miss events were 291 (109 newborns with birth weight less than 1500 g, 169 APGAR score