Skills retention in Sudanese village midwives 1 year following Helping Babies Breathe training

Archives of Disease in Childhood
Ali M E ArabiC Anthony Ryan

Abstract

Over 80% of deliveries in Sudan occur in isolated villages, attended by village midwives (VMWs). Upgrading newborn resuscitation skills with the Helping Babies Breathe (HBB) programme could improve newborn survival rates. To describe the competencies in newborn resuscitation of selected VMWs pre-HBB and post-HBB training. In a prospective intervention study, the VMWs' performances in the HBB Objective Structured Clinical Examination B simulated scenario (manikin requiring face-mask ventilation (FMV)) were digitally recorded and analysed prior to and 3 and 12 months following HBB training. Regular manikin-based practice was encouraged following training. Pre-HBB training, 42% of 71 VMWs (of whom 61% were functionally illiterate) stimulated the non-breathing manikin by holding it by the legs and either stimulated/slapped (30.4%) or shook (12.7%) it, while 25% (18/71) provided manikin mouth-to-mouth ventilation. The low scorings on the 'preparation for birth' (0% and 3.1% at 3 and 12 months, respectively) were mainly due to failure to demonstrate the subitem of 'cleans hands'. The percentage of VMWs providing manikin FMV within the Golden Minute increased from 37.3% (25/67) to 72.3% (47/65) (p<0.005), but there were no significant...Continue Reading

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Citations

Sep 30, 2016·Paediatrics and International Child Health·Kahabi Ganka IsangulaBrett D Nelson
Apr 19, 2017·Pediatric Research·Beena D Kamath-RayneSusan Niermeyer
Mar 10, 2018·JBI Database of Systematic Reviews and Implementation Reports·Justine DolBrianna Richardson
Aug 9, 2017·Paediatrics and International Child Health·Hege Langli Ersdal
Oct 28, 2017·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Amy R L RuleBeena D Kamath-Rayne

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