Audit of neonatal near miss: Possibilities of improving in perinatology polymorphisms

Neonatal near miss cases are newborn infants who nearly died but survived serious complications during pregnancy, labor or the first 7 weeks of extrauterine life. Objective. To estimate the neonatal near miss rate and define further ways of improving a neonatal near miss methodology. Subjects and methods. The investigation enrolled 16766 babies born at the Perinatal Center of the Rostov Region and delivered from other facilities of the region. Results. There were 1434 neonatal near miss cases (85.5 per 1,000 live births); 1480 with severe neonatal outcomes (88.8 per 1,000 live births). Perinatal audit, an analysis of each neonatal near miss case, which revealed missed opportunities, was carried out. The results of the audit were used to improve medical care protocols for neonatal near miss cases. Conclusion. Audit of neonatal near miss is an important source of information to improve the quality of perinatal care.

early neonatal mortality, those who have come close to dying, perinatal audit