Newborn resuscitation in resource-limited settings

Singhal, Nalini; Bhutta, Zulfiqar Ahmed

doi:10.1016/j.siny.2008.04.013

Cited by 25 publications

(22 citation statements)

References 35 publications

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“…Negligence in the use of partographs or their improper use puts a baby at increased risk of birth asphyxia as it becomes difficult to detect if the baby is distressed. According to Singhal & Bhuta [13], more than half of newborns requiring resuscitation could be identified before birth if the mother is monitored appropriately for risk factors. Similar results were reported by Christensson et al [11] in Mozambique where partographs were used to monitor only half of the deliveries.…”

Section: Midwives Ability To Identify Warning Signs Of Birth Asphyxiamentioning

confidence: 99%

Midwives’ adherence to guidelines on the management of birth asphyxia in Malawi

Chikuse¹,

Chirwa²,

Maluwa³

et al. 2012

OJN

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A study was conducted to determine midwives adherence to guidelines on management of birth asphyxia at Queen Elizabeth Central Hospital in Blantyre district, Malawi. The study design was descriptive cross sectional using quantitative data analysis method on 75 midwives that were working in the maternity unit of the hospital. A structured questionnaire was used to collect data on participant's demographic characteristics and midwives' comprehension of birth asphyxia and an observational check list was used to observe midwives' adherence to WHO resuscitation guidelines. In addition midwives were observed on their adherence to the Integrated Maternal and Neonatal Health guidelines that were developed by the Malawi Ministry of Health. The findings indicate that the midwives had knowledge of birth asphyxia in general. However, there were gaps in their ability to identify warning signs of birth asphyxia through partograph use. In addition the midwives did not adhere to 9 out of the 21 steps of the resuscitation guideline. Generally there was substandard adherence to guidelines on identification of warning signs of birth asphyxia and neonatal resuscitation. On the other hand, the facility did not have adequate resuscitation equipment and supplies. The results are discussed in relation to the importance of adhering to resuscitation guidelines in the management of birth asphyxia for babies that do not breathe at birth. Training of the midwives on partograph use and resuscitation to improve neonatal outcomes is recommended. It is recommended further that the health facility should have adequate resuscitation equipment and supplies.

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Section: Midwives Ability To Identify Warning Signs Of Birth Asphyxiamentioning

confidence: 99%

Midwives’ adherence to guidelines on the management of birth asphyxia in Malawi

Chikuse¹,

Chirwa²,

Maluwa³

et al. 2012

OJN

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“…Recent reviews suggest that traditional attendants could have a role in increasing newborn survival [45],[48],[49], and a controlled trial in rural Pakistan found a 30% reduction in neonatal mortality when they were linked systematically with government community health workers and obstetric services [50]. There is also evidence that infants could be saved if TBAs had some skills in managing birth asphyxia, for example [51].…”

Section: What Is Meant By Community Intervention?mentioning

confidence: 99%

Improving Newborn Survival in Low-Income Countries: Community-Based Approaches and Lessons from South Asia

et al. 2010

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“…7 Neonatal resuscitation programs are low-cost interventions and effectively reduce perinatal mortality by up to 30%. [8][9][10][11][12] Basic resuscitation focusing on initial steps and assisted ventilation, without the use of endotracheal intubation or drugs, is sufficient for the vast majority of newborns. 13 To assist developing countries with the immense task of scaling up resuscitation training, Helping Babies Breathe (HBB), a graphically based curriculum designed for resource-limited settings, was produced by the American Academy of Pediatrics and launched in 2010.…”

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confidence: 99%