Community‐based newborn resuscitation among frontline providers in a low‐resource country

Olson, Kristian R.; Caldwell, Aya; Sihombing, Melva; Guarino, A. J.; Nelson, Brett D.

doi:10.1016/j.ijgo.2012.07.012

Cited by 6 publications

(10 citation statements)

References 19 publications

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“…30,31,42,60 Five studies (55.6%) reported no improvement in mortality despite improvement in test scores and/or delivery room behavior. 18,37,62,64,73 However, 3 of these studies (33.3%) showed a decrease either in newborns classified as stillborn or in asphyxiarelated cause-specific mortality, suggesting the training programs had a positive impact. 18,37,73 …”

Section: Impact Of Theoretical Knowledge On Delivery Room Behaviors Amentioning

confidence: 96%

“…In 10 (62.5%) of these studies, examiners directly observed birth attendants, 18,30,31,36,43,44,59,64,65 whereas in 7 studies (43.8%), scores were based on chart review or recall by birth attendants and/or the newborn's mother. 37,43,47,50,57,60,62 One study both directly observed birth attendants and surveyed community women cared for by these attendants. 43 …”

Section: Description Of Articlesmentioning

confidence: 99%

“…36 Nine studies (20%) attempted to correlate performance on either standardized tests or actual behavior in the delivery room with changes in neonatal mortality statistics, and the results were mixed. 18,30,31,37,42,60,62,64,73 Four (44.4%) of these studies documented significant declines in neonatal mortality correlating with improvement in test scores and delivery room behavior, respectively. 30,31,42,60 Five studies (55.6%) reported no improvement in mortality despite improvement in test scores and/or delivery room behavior.…”

Section: Impact Of Theoretical Knowledge On Delivery Room Behaviors Amentioning

confidence: 99%

“…18,36,39,48,59,62 All but 1 of these studies showed that significantly increased BMV use (83.3%) persisted after training compared with before training; however, application of this life-saving maneuver was far from universal, and the technique was often incorrect. In a study from Tanzania's HBB program, only 21.5% of trained participants correctly demonstrated all 3 maneuvers to improve BMV 6 weeks after training.…”

Section: Retention Of Bmv Skillsmentioning

confidence: 99%

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Newborn Resuscitation Training in Resource-Limited Settings: A Systematic Literature Review

et al. 2016

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CONTEXT: Birth asphyxia contributes substantially to neonatal mortality in low-and middleincome countries (LMICs). The effects of training birth attendants in neonatal resuscitation (NR) on mortality are limited by falloff of skills and knowledge over time and transference of learned skills into clinical practice.OBJECTIVE: This review examined acquisition and retention of NR knowledge and skills by birth attendants in LMICs and the effectiveness of interventions to improve them.DATA SOURCES: Medline, Cochrane, Embase, CINAHL, Bireme, and African Index Medicus databases were searched. We reviewed Web pages and reports from non-peer-reviewed (or "gray") literature sources addressing NR training in LMICs. STUDY SELECTION:Articles on acquisition and retention of NR knowledge and skills, and interventions to improve them, were limited to LMICs. RESULTS:The initial search identified 767 articles, of which 45 met all inclusion criteria. Of these, 31 articles analyzed acquisition of knowledge and skills, and 19 analyzed retention. Most studies found high acquisition rates, although birth attendants struggled to learn bag-mask ventilation. Although significant falloff of knowledge and skills occurred after training, refresher training seemed to improve retention. Results of the gray literature analysis suggest that formal, structured practice sessions improve retention. LIMITATIONS: This review did not analyze training's direct impact on mortality.CONCLUSIONS: Knowledge and skills falloff is a significant barrier to the success of NR training programs and possibly to reducing newborn mortality in LMICs. Refresher training and structured practice show significant promise. Additional research is needed to implement and assess retention improvement strategies in classroom and clinical settings.a Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; b Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; c Harvard Medical School, Boston, Massachusetts; and d Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah Dr Reisman oversaw the literature reviews, interpreted the results, and drafted the initial manuscript; Ms Arlington assisted with the gray literature search and reviewed and revised the manuscript; Dr Jensen performed the initial gray literature analysis and reviewed and revised the manuscript; Mr Louis and Ms SuarezRebling conducted the initial literature review; and Dr Nelson conceptualized and designed the literature review and reviewed and revised the manuscript. All authors approved the fi nal manuscript as submitted.

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Section: Impact Of Theoretical Knowledge On Delivery Room Behaviors Amentioning

confidence: 96%

Section: Description Of Articlesmentioning

confidence: 99%

Section: Impact Of Theoretical Knowledge On Delivery Room Behaviors Amentioning

confidence: 99%

Section: Retention Of Bmv Skillsmentioning

confidence: 99%

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Newborn Resuscitation Training in Resource-Limited Settings: A Systematic Literature Review

et al. 2016

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“…8 Our previous research analyzed the effectiveness of a newborn resuscitation training program conducted in Indonesia beginning in 2005. 9 The training program occurred in a disrupted health system after the 2004 Asian tsunami and resolution of the civil conflict in the province of Aceh, Indonesia. The study assessed two groups of midwives.…”

Section: Introductionmentioning

confidence: 99%

Assessing self-efficacy of frontline providers to perform newborn resuscitation in a low-resource setting

Olson

Caldwell

Sihombing³

et al. 2015

Resuscitation

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Using the sulfide-oxidizing bacterium Geobacillus thermodenitrificans to restrict H2S release during chicken manure composting

Wu,

Wan,

Wang

et al. 2024

Journal of Environmental Management

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Community‐based newborn resuscitation among frontline providers in a low‐resource country

Cited by 6 publications

References 19 publications

Newborn Resuscitation Training in Resource-Limited Settings: A Systematic Literature Review

Newborn Resuscitation Training in Resource-Limited Settings: A Systematic Literature Review

Assessing self-efficacy of frontline providers to perform newborn resuscitation in a low-resource setting

Using the sulfide-oxidizing bacterium Geobacillus thermodenitrificans to restrict H2S release during chicken manure composting

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