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Neonatal near miss: A review of current definitions and the need for standardisation
Author(s) -
Medeiros Poliana de Barros,
Bailey Cheryl,
Andrews Christine,
Liley Helen,
Gordon Adrienne,
Flenady Vicki
Publication year - 2022
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.13493
Subject(s) - audit , benchmarking , expert opinion , medicine , population , intensive care medicine , business , environmental health , accounting , marketing
Neonatal near miss (NNM) refers to a newborn who almost died in the neonatal period and is often perceived as part of a spectrum that includes stillbirth and neonatal death. NNM audits might improve recognition of risk factors and substandard care, facilitate benchmarking and inform prevention strategies to improve perinatal outcomes. This review shows that available NNM definitions are inconsistent and vary widely. This is likely to undermine the development of effective prevention strategies and global comparisons. Expert opinion may help reaching a consensus, thus enabling targeting of the appropriate population which would lead to more meaningful data for perinatal audits.