Evaluating time between birth to cry or bag and mask ventilation using mobile delivery room timers in India: the NICHD Global Network's Helping Babies Breathe Trial.
Evaluating time between birth to cry or bag and mask ventilation using mobile delivery room timers in India: the NICHD Global Network's Helping Babies Breathe Trial.
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DOI：
10.1186/s12887-015-0408-6
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发表时间：
2015-08-06
期刊：
影响因子：
2.4
通讯作者：
Wright LL
中科院分区：
文献类型：
--
作者：
Somannavar MS;Goudar SS;Revankar AP;Moore JL;McClure EM;Destefanis P;DeCain M;Goco N;Wright LL
黄金一分钟，即新生儿出生后的第一分钟，是分娩后建立通气的关键时期，正如帮助婴儿呼吸®和其他复苏培训计划所强调的那样。以前的研究通过观察者对这段时间的评价来加强训练；虽然观察对研究是有用的，但它可能不是一种可持续的方法，以支持在资源匮乏的环境中，很少有助产士可用的复苏实践。为了加强黄金分钟®内的复苏，我们试图在Android手机平台上开发一种简单的移动产房计时器，供助产士在分娩时使用。我们开发并评估了一个移动产房计时器，以记录从出生到新生儿啼哭/自主呼吸或气囊和口罩通气开始的时间间隔，以方便在印度卡纳塔克邦五家医院分娩的妇女为样本。移动产房计时器是一个基于Android手机的应用程序，记录关键事件，包括加冕，分娩，哭泣/自发呼吸或袋和口罩通风。移动产房计时器记录了助产士口头指示的加冕时间、出生时间（定义为整个婴儿出生的时间）、哭泣/自主呼吸或气囊和口罩通气时间。移动产房计时器的结果在子样本中由训练有素的观察员（护士）进行验证，该观察员（护士）独立记录分娩与开始哭泣/自主呼吸或气囊和口罩通气之间的时间。在总共4597次分娩中，2107次（46%）是定时分娩；一名训练有素的护士也观察了这些分娩的样本（n = 438）。移动产房计时器与观察到的出生到哭闹/自主呼吸或通气之间的时间高度一致（相关性=0.94,p < 0.0001）。两组的大多数新生儿自发地哭泣/呼吸或接受袋和面罩通气1分钟（计时器430/438 vs.观察者433/438）。我们证明了一个简单的移动产房计时器应用程序在分娩过程中是可行的，并提供了有效的观察到哭泣/自主呼吸或袋和面罩通气的时间。这种类型的工具可能有助于加强新生儿复苏训练和需要确保自发或辅助通气的黄金分钟®。
The Golden Minute®, the first minute following birth of a newborn, is a critical period for establishing ventilation after delivery, as emphasized in the Helping Babies Breathe® and other resuscitation training programs. Previous studies have reinforced training through observers’ evaluation of this time period; although observation is useful for research, it may not be a sustainable method to support resuscitation practice in low-resource settings where few birth attendants are available. In order to reinforce resuscitation within The Golden Minute®, we sought to develop a simple mobile delivery-room timer on an Android cell phone platform for birth attendants to use at the time of delivery. We developed and evaluated a mobile delivery room timer to document the time interval from birth to the initiation of newborn crying/spontaneous respiration or bag and mask ventilation in a convenience sample of women who delivered in five hospitals in Karnataka, India. The mobile delivery room timer is an Android cell phone-based application that recorded key events including crowning, delivery, and crying/spontaneous respiration or bag and mask ventilation. The mobile delivery room timer recorded the birth attendant verbally indicating the time of crowning, birth-(defined as when the entire baby was delivered), crying/spontaneous respiration or bag and mask ventilation. The mobile delivery room timer results were validated in a subsample by a trained observer (nurse) who independently recorded the time between delivery and initiation of crying/spontaneous respiration or bag and mask ventilation. Of the total 4,597 deliveries, 2,107 (46 %) were timed; a sample (n = 438) of these deliveries was also observed by a trained nurse. There was high concordance between the mobile delivery room timer and observed time elapsed between birth and crying/spontaneous respiration or ventilation (correlation =0.94, p < 0.0001). The majority of neonates in both groups cried/breathed spontaneously or received bag and mask ventilation by 1 min (430/438 by the timer vs. 433/438 for observer). We demonstrated that a simple mobile delivery room timer application was feasible to use during delivery and provided valid observations of the time to crying/spontaneous respiration or bag and mask ventilation. This type of tool may be useful in reinforcing neonatal resuscitation training and the need to ensure spontaneous or assisted ventilation by The Golden Minute®.