Essential newborn care practices for healthy newborns at a district hospital in Pemba, Tanzania: a cross-sectional observational study utilizing video recordings

Stensgaard, Christina Nadia; Bech, Christine Manich; Holm-Hansen, Charlotte; Skytte, Tine Bruhn; Ali, Said M.; Mohd, Ulfat Amour; Kjærgaard, Jesper; Greisen, Gorm; Poulsen, Anja; Lund, Stine

doi:10.1080/16549716.2022.2067398

Cited by 5 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, it was identified that combined interventions are necessary to maximize the impact (4). ENC has been assessed in other countries and has identified several omissions and areas that need improvement that could lead to unnecessary complications (5)(6).…”

Section: Introductionmentioning

confidence: 99%

Practices of essential newborn care endorsed for every newborn and interventions recommended for pre-term babies in selected government hospitals of Colombo District, Sri Lanka

Peiris,

Jayaratne,

De Alwis Seneviratne

2023

J Coll Community Phys Sri Lanka

View full text Add to dashboard Cite

Introduction: World Health Organization (WHO) has identified essential newborn care interventions to improve the care of every newborn. In 2015, the WHO published evidence-based guidelines to improve pre-term birth. Though Sri Lanka also adheres to these recommendations on interventions to improve pre-term birth outcomes, coverage of them have not yet been assessed for the country and there is no recent assessment of essential newborn care coverage as well.Objectives: To describe the practice of essential newborn care (ENC) for babies born pre-term and WHO recommended interventions to improve pre-term birth outcomes in government hospitals of Colombo District.Methods: A descriptive cross-sectional study with two components was conducted in seven government hospitals with obstetric and neonatal care facilities in Colombo District in 2017-2018. The first component describes the coverage of essential newborn care (ENC) assessed by direct observation among convenient sample of 77 deliveries. The second component assessed the practice of recommended interventions to improve pre-term birth. Data were extracted by pre-intern doctors from the medical records using a checklist on 510 pre-terms. Descriptive analysis was done.Results: In relation to ENC, among 77 deliveries, preparation before delivery was satisfactory and it was >90%. Overall, the practice of immediate newborn care interventions were satisfactory, but a low coverage was found for maternal abdomen delivery 31(40.3%), delayed cord clamping 39 (50.6%), temperature measurement 8(10.4%), educating about vitamin K 29 (37.7%), breastfeeding counselling 40 (51.9%) and delayed weighing 26 (33.8%). Practising recommended pre-term interventions was satisfactory except for the use of magnesium sulphate which was received by only 38 (60.3%) and kangaroo mother care was given for only 74 (57.8%).Conclusions & Recommendations: Most of the ENC practices and adhering to recommended interventions for pre-term were satisfactory except for a few. A refresher course of care for the preterm baby and ENC is recommended to the labour room staff.

show abstract

Section: Introductionmentioning

confidence: 99%

Practices of essential newborn care endorsed for every newborn and interventions recommended for pre-term babies in selected government hospitals of Colombo District, Sri Lanka

Peiris,

Jayaratne,

De Alwis Seneviratne

2023

J Coll Community Phys Sri Lanka

View full text Add to dashboard Cite

show abstract

“…The immediate neonatal care practices (ENC) include the immediate care at birth that is aimed at addressing poor care practices immediately following birth. They include initiation of breathing and management of asphyxia, maintaining clean cord care, thermal care either by wrapping with baby's mat or skin to skin contact with the mother immediately after delivery, delaying of first birth for at least 24hours, initiation of breastfeeding within an hour of birth and management of early sepsis [9]. The practice of NNC differs from level to level in different settings.…”

Section: Introductionmentioning

confidence: 99%

Education of nurses in rural primary health cares to improve vital care of newborns: A community-based research in Nigeria

Clementina Nkiru Eze,

Christiana I. Elusoji,

Christiana Nkiru Okafor

et al. 2023

Magna Sci. Adv. Res. Rev.

View full text Add to dashboard Cite

This study was designed to ascertain the level of knowledge and the degree of practice of the components of Essential New-born care (ENC), and the effects of a training programme on the knowledge and practice of ENC among nurses in rural Primary Health Cares (PHCs) in South East Nigeria. This study was a one group pre-test and post-test intervention design. The components of ENC considered were: New-Born Initiation of Breastfeeding, Thermoregulation, New-Born Cord Care, Newborn Eye Care, Initiation of Breathing and Administration of Vitamin K. A Neonatal care Knowledge and Practice Assessment (NCKPA) Questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (96) available nurses (All female). There was significant improvement in the level of knowledge and extent of practice of the components of ENC following the training programme. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of Eye care 40(41.6%) - pre-intervention, and least knowledge of cord care 70 (72.9%) and eye care 90(93.8%) - post-intervention. Increase in knowledge corresponded with increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, update courses and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rate.

show abstract

Neonatal mortality and video assessment of resuscitation in four district hospitals in Pemba, Tanzania

Holm-Hansen,

Lund,

Skytte

et al. 2023

Pediatr Res

Self Cite

View full text Add to dashboard Cite

Background We aimed to assess risk factors for neonatal mortality, quality of neonatal resuscitation (NR) on videos and identify potential areas for improvement. Methods This prospective cohort study included women in childbirth and their newborns at four district hospitals in Pemba, Tanzania. Videos were analysed for quality-of-care. Questionnaires on quality-of-care indicators were answered by health workers (HW) and women. Risk factors for neonatal mortality were analysed in a binomial logistic regression model. Results 1440 newborns were enrolled. 34 newborns died within the neonatal period (23.6 per 1000 live births). Ninety neonatal resuscitations were performed, 20 cases on video. Positive pressure ventilation (PPV) was inadequate in 15 cases (75%). Half (10/20) did not have PPV initiated within the first minute, and in one case (5.0%), no PPV was performed. PPV was not sustained in 16/20 (80%) newborns. Of the 20 videos analysed, death occurred in 10 newborns: 8 after resuscitation attempts and two within the first 24 h. Most of HW 49/56 (87.5%) had received training in NR. Conclusions Video analysis of NR revealed significant deviations from guidelines despite 87.5% of HW being trained in NR. Videos provided direct evidence of gaps in the quality of care and areas for future education, particularly effective PPV. Impact Neonatal mortality in Pemba is 23.6 per 1000 livebirths, with more than 90% occurring in the first 24 h of life. Video assessment of neonatal resuscitation revealed deviations from guidelines and can add to understanding challenges and aid intervention design. The present study using video assessment of neonatal resuscitation is the first one performed at secondary-level hospitals where many of the world’s births are conducted. Almost 90% of the health workers had received training in neonatal resuscitation, and the paper can aid intervention design by understanding the actual challenges in neonatal resuscitation.

show abstract

Essential newborn care practices for healthy newborns at a district hospital in Pemba, Tanzania: a cross-sectional observational study utilizing video recordings

Cited by 5 publications

References 28 publications

Practices of essential newborn care endorsed for every newborn and interventions recommended for pre-term babies in selected government hospitals of Colombo District, Sri Lanka

Practices of essential newborn care endorsed for every newborn and interventions recommended for pre-term babies in selected government hospitals of Colombo District, Sri Lanka

Education of nurses in rural primary health cares to improve vital care of newborns: A community-based research in Nigeria

Neonatal mortality and video assessment of resuscitation in four district hospitals in Pemba, Tanzania

Contact Info

Product

Resources

About