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AuthorArabi, Ame
AuthorIbrahim, S A
AuthorAbdel-Rahman, M
AuthorAbdalla, M S
AuthorAhmed, S E
AuthorDempsey, E P
AuthorRyan, C A
Available date2017-09-14T06:58:47Z
Publication Date2017-08-01
Publication NameBMJ
Identifierhttp://dx.doi.org/10.1136/archdischild-2017-312809
CitationArabi A, Ibrahim S, Abdel-Rahman M, et al Perinatal outcomes following Helping Babies Breathe training and regular peer–peer skills practice among village midwives in Sudan Archives of Disease in Childhood Published Online First: 18 August 2017.
ISSN0959-8138
URIhttp://hdl.handle.net/10576/5629
AbstractOver 80% of deliveries in Sudan occur in rural areas, attended by village midwives (VMWs). To determine the impact of Helping Babies Breathe training and regular peer-peer skills practice (HBBT(+RPPSP)) on VMW resuscitation practices and outcomes. In a prospective community-based intervention study, 71/82 VMWs, reporting to six East Nile rural medical centres, with previous experience in community health research, consented to HBBT(+RPPSP). Outcomes included changes in the resuscitation practices, fresh stillbirths (FSB) and early neonatal deaths <1 week (ENND). There were 1350 and 3040 deliveries before and after HBBT(+RPPSP), respectively, with no significant differences between the two cohorts regarding maternal age, education or area of birth. Drying of the newborn increased almost tenfold (8.4%, n=113 to 74.9%, n=1011) while suctioning of the mouth/nose decreased fivefold (80.3%, n=2442 to 14.4%, n=437) following HBBT(+RPPSP). Pre-HBBT(+RPPSP)9/18 (50%) newborns who had mouth-to-mouth ventilation died, compared with 13/119 (11%) who received bag-mask ventilation post-HBBT(+RPPSP). Excluding 11 macerated fetuses, there were 55 perinatal deaths: 14 FSB/18 ENND (6 months pre-HBBT(+RPPSP)) and 10 FSB/13 ENND (18 months post-HBBT(+RPPSP)). FSB rates decreased from 10.5 to 3.3 per 1000 births ((χ(2))=8.6209, p=0.003), while ENND rates decreased from 13.5 to 4.3 per 1000 live births ((χ(2))=10.9369, p=0.001) pre-HBBT(+RPPSP) and post-HBBT(+RPPSP), respectively. In a selected group of VMWs, HBBT(+RPPSP) was associated with improvements in newborn resuscitation and perinatal outcomes. HBBT(+RPPSP) could have immense benefits if propagated nationally to all 17 000 VMWs in Sudan.
SponsorThis study was funded by the Irish Aid Civil Society Grant scheme.
Languageen
PublisherBMJ Publishing Group
Subjecthelping babies breathe
newborn resuscitation
resuscitation skills
sudan
village midwife
TitlePerinatal outcomes following Helping Babies Breathe training and regular peer-peer skills practice among village midwives in Sudan.
TypeArticle
ESSN1756-1833
dc.accessType Open Access


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