Impact of ALSO training on the management of prolonged labor and neonatal care at Kagera Regional Hospital, Tanzania

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Bjarke Lund SorensenBirgitte Bruun Nielsen

Abstract

To evaluate the management of prolonged labor and neonatal care before and after Advanced Life Support in Obstetrics (ALSO) training. Staff involved in childbirth at Kagera Regional Hospital, Tanzania, attended a 2-day ALSO provider course. In this prospective intervention study conducted between July and November 2008, the management and outcomes of 558 deliveries before and 550 after the training were observed. There was no significant difference in the rate of cesarean deliveries owing to prolonged labor, and vacuum delivery was not practiced after the intervention. During prolonged labor, action was delayed for more than 3 hours in half of the cases. The stillbirth rate, Apgar scores, and frequency of neonatal resuscitation did not change significantly. After the intervention, there was a significant increase in newborns given to their mothers within 10 minutes, from 5.6% to 71.5% (RR 12.71; 95% CI, 9.04-17.88). There was a significant decrease from 6 to 0 neonatal deaths before discharge among those born with an Apgar score after 1 minute of 4 or more (P=0.03). ALSO training had no effect on the management of prolonged labor. Early contact between newborn and mother was more frequently practiced after ALSO training and the...Continue Reading

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Citations

Jan 3, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Francesca L Cavallaro, Tanya J Marchant
Jun 9, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Christentze SchmiegelowBirgitte Bruun Nielsen
May 31, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Nanna MaaløeBjarke Lund Sorensen
Aug 22, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lee T DresangLawrence Leeman
Aug 1, 2015·Bulletin of the World Health Organization·Joanna F CroftsThabani Sibanda

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