Implementing a simplified neonatal resuscitation protocol-helping babies breathe at birth (HBB) - at a tertiary level hospital in Nepal for an increased perinatal survival.
Implementing a simplified neonatal resuscitation protocol-helping babies breathe at birth (HBB) - at a tertiary level hospital in Nepal for an increased perinatal survival.
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DOI：
10.1186/1471-2431-12-159
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发表时间：
2012-10-05
期刊：
影响因子：
2.4
通讯作者：
Ewald U
中科院分区：
文献类型：
--
作者：
Ashish KC;Målqvist M;Wrammert J;Verma S;Aryal DR;Clark R;Naresh PK;Vitrakoti R;Baral K;Ewald U
在过去十年中，降低新生儿死亡率一直是中低收入国家面临的新挑战。低成本干预措施的发展及其有效实施是减少出生窒息死亡的必要条件。这项研究将评估尼泊尔一家三级医院帮助婴儿呼吸（HBB）提供的简化新生儿复苏方案的影响。围产期的结果和熟练的助产士在管理产时相关的新生儿缺氧的表现将是主要的测量指标。这项研究将在尼泊尔的一家三级妇产医院进行。前瞻性队列研究将包括6个月的基线、6个月的干预期和3个月的干预后期。质量改进过程循环将引入新生儿复苏方案。将建立一个监测系统，包括CCD摄像机和脉搏血氧仪，以评估干预措施。沿着一项技术，以提高卫生工作者的性能协议，这项研究将产生的证据的研究差距的有效性简化新生儿复苏协议对产时的结果和早期新生儿存活。这将引起全球关注，并为所有收入环境中的分娩护理决策提供信息。ISRCTN97846009
Reducing neonatal death has been an emerging challenge in low and middle income countries in the past decade. The development of the low cost interventions and their effective delivery are needed to reduce deaths from birth asphyxia. This study will assess the impact of a simplified neonatal resuscitation protocol provided by Helping Babies Breathe (HBB) at a tertiary hospital in Nepal. Perinatal outcomes and performance of skilled birth attendants on management of intrapartum-related neonatal hypoxia will be the main measurements. The study will be carried out at a tertiary level maternity hospital in Nepal. A prospective cohort-study will include a six-month baseline a six month intervention period and a three-month post intervention period. A quality improvement process cycle will introduce the neonatal resuscitation protocol. A surveillance system, including CCD cameras and pulse oximeters, will be set up to evaluate the intervention. Along with a technique to improve health workers performance on the protocol, the study will generate evidence on the research gap on the effectiveness of the simplified neonatal resuscitation protocol on intrapartum outcome and early neonatal survival. This will generate a global interest and inform policymaking in relation to delivery care in all income settings. ISRCTN97846009