Document Detail


Neonatal resuscitation and newborn outcomes in rural Kenya.
MedLine Citation:
PMID:  9231639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neonatal resuscitation methods vary in developing countries. This study describes the delivery experience at one rural Kenyan mission hospital, retrospectively analysing delivery data and newborn outcomes for a 12-month period, and prospectively characterizing neonatal resuscitation practices. Thirty-six of 878 newborns (4 per cent) suffered unfavourable outcomes, significantly associated with caesarean, breech, and vacuum deliveries (nine infants, P < 0.01) and birthweight of 2000 g or less (10 infants, P < 0.001). Observed neonatal resuscitation practices were inconsistent and notable for umbilical vein injections given in lieu of bag and mask ventilation. A basic neonatal resuscitation protocol was developed. It is concluded that at one Kenyan hospital, unfavourable newborn outcomes were significantly associated with delivery other than normal vaginal and with birthweights of 2000 g or less. Neonatal resuscitation methods could be modified for use in this setting, and might be most useful for term infants delivered by caesarean, breech, or vacuum deliveries.
Authors:
S A Kamenir
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of tropical pediatrics     Volume:  43     ISSN:  0142-6338     ISO Abbreviation:  J. Trop. Pediatr.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-08-18     Completed Date:  1997-08-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8010948     Medline TA:  J Trop Pediatr     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  170-3     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Delivery, Obstetric
Female
Hospitals, General
Hospitals, Urban
Humans
Infant, Newborn*
Kenya
Pregnancy
Resuscitation*
Retrospective Studies
Rural Population*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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