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  • KC, Ashish,1982Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet (författare)

Neonatal resuscitation: EN-BIRTH multi-country validation study.

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-03-26
  • Springer Science and Business Media LLC,2021

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/334089
  • https://gup.ub.gu.se/publication/334089URI
  • https://doi.org/10.1186/s12884-020-03422-9DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-442285URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Annually, 14 million newborns require stimulation to initiate breathing at birth and 6 million require bag-mask-ventilation (BMV). Many countries have invested in facility-based neonatal resuscitation equipment and training. However, there is no consistent tracking for neonatal resuscitation coverage.The EN-BIRTH study, in five hospitals in Bangladesh, Nepal, and Tanzania (2017-2018), collected time-stamped data for care around birth, including neonatal resuscitation. Researchers surveyed women and extracted data from routine labour ward registers. To assess accuracy, we compared gold standard observed coverage to survey-reported and register-recorded coverage, using absolute difference, validity ratios, and individual-level validation metrics (sensitivity, specificity, percent agreement). We analysed two resuscitation numerators (stimulation, BMV) and three denominators (live births and fresh stillbirths, non-crying, non-breathing). We also examined timeliness of BMV. Qualitative data were collected from health workers and data collectors regarding barriers and enablers to routine recording of resuscitation.Among 22,752 observed births, 5330 (23.4%) babies did not cry and 3860 (17.0%) did not breathe in the first minute after birth. 16.2% (n = 3688) of babies were stimulated and 4.4% (n = 998) received BMV. Survey-report underestimated coverage of stimulation and BMV. Four of five labour ward registers captured resuscitation numerators. Stimulation had variable accuracy (sensitivity 7.5-40.8%, specificity 66.8-99.5%), BMV accuracy was higher (sensitivity 12.4-48.4%, specificity > 93%), with small absolute differences between observed and recorded BMV. Accuracy did not vary by denominator option. < 1% of BMV was initiated within 1 min of birth. Enablers to register recording included training and data use while barriers included register design, documentation burden, and time pressure.Population-based surveys are unlikely to be useful for measuring resuscitation coverage given low validity of exit-survey report. Routine labour ward registers have potential to accurately capture BMV as the numerator. Measuring the true denominator for clinical need is complex; newborns may require BMV if breathing ineffectively or experiencing apnoea after initial drying/stimulation or subsequently at any time. Further denominator research is required to evaluate non-crying as a potential alternative in the context of respectful care. Measuring quality gaps, notably timely provision of resuscitation, is crucial for programme improvement and impact, but unlikely to be feasible in routine systems, requiring audits and special studies.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Peven, KimberlyLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH, Keppel St, London WC1E 7HT, England.;Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, London, England. (författare)
  • Ameen, ShafiqulInt Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh. (författare)
  • Msemo, GeorginaIfakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.;Minist Hlth & Social Welf, Dar Es Salaam, Tanzania. (författare)
  • Basnet, OmkarGolden Community, Res Div, Lalitpur, Nepal. (författare)
  • Ruysen, HarrietLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH, Keppel St, London WC1E 7HT, England. (författare)
  • Zaman, Sojib BinInt Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh. (författare)
  • Mkony, MarthaIfakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania. (författare)
  • Sunny, Avinash KGolden Community, Res Div, Lalitpur, Nepal. (författare)
  • Rahman, Qazi Sadeq-UrInt Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh. (författare)
  • Shabani, JosephineIfakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania. (författare)
  • Bastola, Ram ChandraPokhara Acad Hlth Sci, Pokhara, Nepal.;Minist Hlth & Populat, Kathmandu, Nepal. (författare)
  • Assenga, EvelyneMuhimbili Univ Hlth & Allied Sci MUHAS, Dar Es Salaam, Tanzania. (författare)
  • Kc, Naresh PSoc Publ Hlth Phys Nepal, Kathmandu, Nepal. (författare)
  • El Arifeen, ShamsInt Ctr Diarrhoeal Dis Res Bangladesh Icddr B, Maternal & Child Hlth Div, Dhaka, Bangladesh. (författare)
  • Kija, EdwardIfakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania. (författare)
  • Malla, HoneyGolden Community, Res Div, Lalitpur, Nepal. (författare)
  • Kong, StefanieLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH, Keppel St, London WC1E 7HT, England. (författare)
  • Singhal, NaliniUniv Calgary, Dept Paediat, Calgary, AB, Canada. (författare)
  • Niermeyer, SusanUniv Colorado, Sch Med, Colorado Sch Publ Hlth, Aurora, CO USA. (författare)
  • Lincetto, OrnellaWHO, Dept Maternal Newborn Child & Adolescent Hlth & A, Geneva, Switzerland. (författare)
  • Day, Louise TLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH, Keppel St, London WC1E 7HT, England. (författare)
  • Lawn, Joy ELondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH, Keppel St, London WC1E 7HT, England. (författare)
  • Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC pregnancy and childbirth: Springer Science and Business Media LLC21:Suppl 11471-2393

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