Challenges of immediate newborn care in maternity units in Lagos, Nigeria: An observational study
Challenges of immediate newborn care in maternity units in Lagos, Nigeria: An observational study
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DOI：
10.3109/01443615.2011.593652
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发表时间：
2011-10-01
影响因子：
1.3
通讯作者：
Pettersson, K. Odberg
中科院分区：
文献类型：
--
作者：
Asp, G.;Sandberg, J.;Pettersson, K. Odberg
新生儿护理不达标已被确定为每年估计有400万新生儿死亡和100万新生儿死产的主要原因。包括尼日利亚在内的低收入国家占所有病例的95%以上。采用非参与者观察方法的横断面比较研究被用来研究在拉各斯，尼日利亚的两个产科中心的围产期保健。研究中包括63对母婴的数据。在研究期间发生了两例死产和两例早期新生儿死亡，在两家医院之间平均分配。产程图是监测产程进展的重要工具，两个中心的使用率分别为77.4%和50%。用于预防体温过低的唯一干预措施是用毛巾擦干和覆盖新生儿。卫生常规较差，护理程序没有显示出与新生儿健康相关的足够知识。迫切需要一个有利的环境和支持性监督。
Substandard newborn care has been identified as a major contributor to the estimated annual 4 million neonatal deaths and 1 million fresh stillbirths. Low-income countries, including Nigeria account for more than 95% of all cases. A cross-sectional comparative study utilising non-participant observation methods was used to study perinatal care at two maternity centres in Lagos, Nigeria. Data on 63 mother-baby pairs were included in the study. Two stillbirths and two early neonatal deaths occurred during the study period, equally divided between the two hospitals. The partograph, a crucial tool for monitoring progress of labour, was in use in 77.4% vs 50% of cases at the two centres. The only interventions utilised for the prevention of hypothermia were drying and covering newborns with towels. Hygiene routines were poor and caring procedures did not demonstrate adequate knowledge related to a newborn's health. An enabling environment and supportive supervision is urgently required.