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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Newborn care training of midwives and neonatal and perinatal mortality rates in a developing country
Pediatrics, Volume 126, No. 5, Year 2010
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Description
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 < .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. Copyright © 2010 by the American Academy of Pediatrics.
Authors & Co-Authors
Carlo, Waldemar A.
United States, Birmingham
The University of Alabama at Birmingham
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
McClure, Elizabeth M.
United States, Research Triangle Park
Rti International
Chomba, Elwyn Nachanya
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Zambia, Lusaka
University Teaching Hospital Lusaka
Chakraborty, Hrishikesh
United States, Research Triangle Park
Rti International
Hartwell, Tyler D.
United States, Research Triangle Park
Rti International
Harris, H.
United States, Research Triangle Park
Rti International
Lincetto, Ornella
Switzerland, Geneva
Organisation Mondiale de la Santé
Wright, Linda L.
United States, Bethesda
Eunice Kennedy Shriver National Institute
Statistics
Citations: 107
Authors: 8
Affiliations: 6
Identifiers
Doi:
10.1542/peds.2009-3464
ISSN:
00314005
e-ISSN:
10984275
Research Areas
Maternal And Child Health
Study Design
Cohort Study
Grounded Theory
Study Approach
Qualitative
Study Locations
Zambia