Practice and outcomes of neonatal resuscitation for newborns with birth asphyxia at Kakamega County General Hospital, Kenya: a direct observation study

BMC Pediatrics
Duncan N ShikukuGorrette Nalwadda

Abstract

About three - quarters of all neonatal deaths occur during the first week of life, with over half of these occurring within the first 24 h after birth. The first minutes after birth are critical to reducing neonatal mortality. Successful neonatal resuscitation (NR) has the potential to prevent these perinatal mortalities related to birth asphyxia. This study described the practice of NR and outcomes of newborns with birth asphyxia in a busy referral hospital. Direct observations of 138 NRs by 28 healthcare providers (HCPs) were conducted using a predetermined checklist adapted from the national pediatric resuscitation protocol. Descriptive statistics were computed and chi - square tests were used to test associations between the newborn outcome at 1 h and the NR processes for the observed newborns. Logistic regression models assessed the relationship between the survival status at 1 h versus the NR processes and newborn characteristics. Nurses performed 72.5% of the NRs. A warm environment was maintained in 71% of the resuscitations. Airway was checked for almost all newborns (98%) who did not initiate spontaneous breathing after stimulation. However, only 40% of newborns were correctly cared for in case of meconium presence in...Continue Reading

References

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Nov 24, 2016·BMC Pregnancy and Childbirth·Akash BangPatricia L Hibberd

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Citations

Aug 9, 2019·BMC Health Services Research·Wasihun Andualem GobezieHabtamu Teklie
Nov 19, 2019·Revista colombiana de obstetricia y ginecología·Sandra Patricia Moreno-ReyesVíctor Hugo Estupiñán-Pérez
Mar 21, 2020·BMC Pediatrics·Haftom Gebrehiwot WeldearegayAraya Abrha Medhanyie
Aug 18, 2020·Journal of Multidisciplinary Healthcare·Brian Barasa Masaba, Rose M Mmusi-Phetoe

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