Maternal and Neonatal Risk Factors for Special or Intensive Neonatal Care Admission: A Hospital-Based Cross-Sectional Study in Indonesia

Abstract

Objective: This study aimed to identify maternal and neonatal risk factors associated with admission to special or intensive neonatal care in a referral hospital in Indonesia. Methods: A hospital-based cross-sectional study was conducted from November 2024 to April 2025. Data were collected from medical records and analyzed using binary logistic regression. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported, with P < .05 considered significant. Results: Among 348 neonates, 60 (17.2%) were admitted to special or intensive neonatal care. Significant predictors included no antenatal care attendance (AOR: 2.54; 95% CI: 1.23, 5.24), low birth weight (AOR: 3.07; 95% CI: 1.28, 7.34), Apgar score <7 at first minute (AOR: 7.87; 95% CI: 3.70, 16.73), and preterm birth (AOR: 5.69; 95% CI: 2.50, 12.92). Conclusion: No antenatal care attendance, low birth weight, low Apgar score, and preterm birth were independent predictors of neonatal care admission.