Newborn Care Practices at Home: Effect of a Hospital-based Intervention in Sri Lanka

Senarath, Upul; Fernando, Dulitha; Rodrigo, Ishani

doi:10.1093/tropej/fml080

Cited by 13 publications

(13 citation statements)

References 11 publications

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“…3 Visits on subsequent of health workers in postnatal home visits. 18 The odds of practising safe breastfeeding among mothers was found to be higher (odds ratio: 7.6; 95% confidence interval: 6.03-9.71) among those who received one-on-one counselling and hands-on support in an intervention trial where community-based trained workers made home visits within the first three days of birth in Bangladesh. 19 Therefore, more intensive counselling by ASHAs in the first three postnatal visits might further improve adoption of this practice.…”

Section: Discussionmentioning

confidence: 95%

Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013

Sinha¹,

Kaur²,

Gupta³

et al. 2014

WPSAR

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Section: Discussionmentioning

confidence: 95%

Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013

Sinha¹,

Kaur²,

Gupta³

et al. 2014

WPSAR

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“…Training doctors, nurses, and midwives in community hospitals in Sri Lanka in the Essential Newborn Care course reported improved care practices in a group of 1186 newborns but major outcomes were not reported. 28,29 We recently reported that the current Essential Newborn Care course reduced all-cause 7-day and perinatal mortality in low-risk health care urban health clinics in Zambia. 12 Evaluations of other neonatal care packages have been reported.…”

Section: Discussionmentioning

confidence: 99%

Newborn-Care Training and Perinatal Mortality in Developing Countries

Carlo

Goudar

Jehan³

et al. 2010

N Engl J Med

354

316

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Background Ninety-eight percent of the 3.7 million neonatal deaths and 3.3 million stillbirths per year occur in developing countries, and evaluation of community-based interventions is needed. Methods Using a train-the-trainer model, local instructors trained birth attendants from rural communities in six countries (Argentina, Democratic Republic of Congo, Guatemala, India, Pakistan, and Zambia) in the World Health Organization Essential Newborn Care course (routine neonatal care, resuscitation, thermoregulation, breastfeeding, kangaroo care, care of the small baby, and common illnesses), and in a modified version of the American Academy of Pediatrics Neonatal Resuscitation Program (in depth basic resuscitation), except in Argentina. The Essential Newborn Care intervention was assessed with a before and after design (N=57, 643). The Neonatal Resuscitation Program intervention was assessed as a cluster randomized controlled trial (N=62,366). The primary outcome was 7-day neonatal mortality. Results The 7-day follow-up rate was 99.2%. Following Essential Newborn Care training, there was no significant reduction from baseline in all-cause 7-day neonatal (RR 0.99; CI 0.81, 1.22) or perinatal mortality; there was a significant reduction in the stillbirth rate (RR 0.69; CI 0.54, 0.88; p<0.01). Seven-day neonatal mortality, stillbirth, and perinatal mortality were not reduced in clusters randomized to Neonatal Resuscitation Program training as compared with control clusters. Conclusions Seven-day neonatal mortality did not decrease following the introduction of Essential Newborn Care training of community-based birth attendants, although the rate of stillbirths was reduced following this intervention. Subsequent training in the Neonatal Resuscitation Program did not significantly reduce the mortality rates. (clinicaltrials.gov number, NCT00136708).

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“…The only clinical studies on the effect of ENC training reported increased use of many of the practices taught. 13,14 Mortality rates and other major outcomes were not assessed because the studies were too small to detect an effect. The ENC course improved the knowledge and skills of midwives in Zambia.…”

Section: Figurementioning

confidence: 99%

“…The ENC course complements Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice, 10 and together the course and the guide provide evidence-based guidelines for routine care and initial treatment of neonates during the first week after birth. The ENC course has been taught, [11][12][13][14] but its effect on major outcomes has not been tested in a large clinical study. The Neonatal Resuscitation Program (NRP) of the American Academy of Pediatrics is a train-thetrainer, hands-on course to develop expertise in the evidenced-based knowledge and skills of neonatal resuscitation.…”

mentioning

confidence: 99%

Newborn Care Training of Midwives and Neonatal and Perinatal Mortality Rates in a Developing Country

et al. 2010

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WHAT'S KNOWN ON THIS SUBJECT:The majority of infant deaths occur during the neonatal period. Educational programs available to train neonatal health care workers are effective in improving knowledge and skills, but there are limited data on their effects on neonatal mortality rates. WHAT THIS STUDY ADDS:Training midwives in neonatal care reduces early neonatal mortality rates for infants born in lowrisk, first-level facilities. abstract + OBJECTIVE: This study was designed to test the hypothesis that 2 training programs would reduce incrementally 7-day neonatal mortality rates for low-risk institutional deliveries. METHODS:Using a train-the-trainer model, certified research midwives sequentially trained the midwives who performed deliveries in low-risk, first-level, urban, community health clinics in 2 cities in Zambia in the protocol and data collection, in the World Health Organization Essential Newborn Care (ENC) course (universal precautions and cleanliness, routine neonatal care, resuscitation, thermoregulation, breastfeeding, kangaroo care, care of small infants, and common illnesses), and in the American Academy of Pediatrics Neonatal Resuscitation Program (in-depth basic resuscitation). Data were collected during 3 periods, after implementation of each training course. RESULTS:A total of 71 689 neonates were enrolled in the 3 study periods. All-cause, 7-day neonatal mortality rates decreased from 11.5 deaths per 1000 live births to 6.8 deaths per 1000 live births after ENC training (relative risk: 0.59 [95% confidence interval: 0.48 -0.77]; P Ͻ .001), because of decreases in rates of deaths attributable to birth asphyxia and infection. Perinatal mortality rates but not stillbirth rates decreased. The 7-day neonatal mortality rate was decreased further after Neonatal Resuscitation Program training, after correction for loss to follow-up monitoring.CONCLUSIONS: ENC training for midwives reduced 7-day neonatal mortality rates in low-risk clinics. Additional in-depth basic training in neonatal resuscitation may reduce mortality rates further. Pediatrics

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Newborn Care Practices at Home: Effect of a Hospital-based Intervention in Sri Lanka

Cited by 13 publications

References 11 publications

Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013

Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013

Newborn-Care Training and Perinatal Mortality in Developing Countries

Newborn Care Training of Midwives and Neonatal and Perinatal Mortality Rates in a Developing Country

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