Implementing a simplified neonatal resuscitation protocol-helping babies breathe at birth (HBB) - at a tertiary level hospital in Nepal for an increased perinatal survival
| Autor: | Mats Målqvist, Kedar Baral, Naresh Pratap Kc, Ashish Kc, Ravi Vitrakoti, Johan Wrammert, Dhan Raj Aryal, Sheela Verma, Robert B Clark, Uwe Ewald |
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| Rok vydání: | 2012 |
| Předmět: |
Medicin och hälsovetenskap
Resuscitation medicine.medical_specialty Quality management Population Psychological intervention Developing country Medical and Health Sciences law.invention Tertiary Care Centers Study Protocol Clinical Protocols Nepal Randomized controlled trial law medicine Humans Pediatrics Perinatology and Child Health Prospective Studies education Intensive care medicine Asphyxia Asphyxia Neonatorum education.field_of_study business.industry lcsh:RJ1-570 Infant Newborn lcsh:Pediatrics Survival Rate Pediatrics Perinatology and Child Health medicine.symptom business Neonatal resuscitation |
| Zdroj: | BMC Pediatrics BMC Pediatrics, Vol 12, Iss 1, p 159 (2012) |
| ISSN: | 1471-2431 |
| DOI: | 10.1186/1471-2431-12-159 |
| Popis: | Background Reducing neonatal death has been an emerging challenge in low and middle income countries in the past decade. The development of the low cost interventions and their effective delivery are needed to reduce deaths from birth asphyxia. This study will assess the impact of a simplified neonatal resuscitation protocol provided by Helping Babies Breathe (HBB) at a tertiary hospital in Nepal. Perinatal outcomes and performance of skilled birth attendants on management of intrapartum-related neonatal hypoxia will be the main measurements. Methods/Design The study will be carried out at a tertiary level maternity hospital in Nepal. A prospective cohort-study will include a six-month baseline a six month intervention period and a three-month post intervention period. A quality improvement process cycle will introduce the neonatal resuscitation protocol. A surveillance system, including CCD cameras and pulse oximeters, will be set up to evaluate the intervention. Discussion Along with a technique to improve health workers performance on the protocol, the study will generate evidence on the research gap on the effectiveness of the simplified neonatal resuscitation protocol on intrapartum outcome and early neonatal survival. This will generate a global interest and inform policymaking in relation to delivery care in all income settings. Trial registration ISRCTN97846009 |
| Databáze: | OpenAIRE |
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