[X] Close
You are about to erase all the values you have customized, search history, page format, etc.
Click here to RESET all values       Click here to GO BACK without resetting any value
Item 1 of about 1
1. Garcés A, McClure EM, Hambidge M, Krebs NF, Mazariegos M, Wright LL, Moore J, Carlo WA: Training traditional birth attendants on the WHO Essential Newborn Care reduces perinatal mortality. Acta Obstet Gynecol Scand; 2012 May;91(5):593-7

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Training traditional birth attendants on the WHO Essential Newborn Care reduces perinatal mortality.
  • OBJECTIVES: To evaluate the impact of birth attendant training using the World Health Organization Essential Newborn Care (ENC) course among traditional birth attendants, with a particular emphasis on the effect of acquisition of skills on perinatal outcomes.
  • DESIGN: Population-based, prospective, interventional pre-post design study.
  • SETTING: 11 rural clusters in Chimaltenango, Guatemala.
  • POPULATION: Health care providers.
  • METHODS: This study analyzed the effect of training and implementation of the ENC health care provider training course between September 2005 and December 2006.
  • OUTCOME MEASURES: The primary outcome measure was the rate of death from all causes in the first seven days after birth in fetuses/infants ≥1500g.
  • Secondary outcome measures were overall rate of stillbirth, rate of perinatal death, which included stillbirths plus neonatal deaths in the first seven days in fetuses/infants ≥1500g.
  • RESULTS: Perinatal mortality decreased from 39.5/1000 pre-ENC to 26.4 post-ENC (RR 0.72; 95%CI 0.54-0.97).
  • This reduction was attributable almost entirely to a decrease in the stillbirth rate of 21.4/1000 pre-Essential Newborn Care to 7.9/1000 post-ENC (RR 0.40; 95%CI 0.25-0.64).
  • Seven-day neonatal mortality did not decrease (18.3/1000 to 18.6/1000; RR 1.05; 95%CI 0.70-1.57).
  • CONCLUSION: Essential Newborn Care training reduced stillbirths in a population-based controlled study with deliveries conducted almost exclusively by traditional birth attendants.
  • Scale-up of this intervention in other settings might help assess reproducibility and sustainability.
  • [MeSH-major] Midwifery / education. Perinatal Care / standards. Perinatal Mortality
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Cluster Analysis. Cohort Studies. Female. Guatemala / epidemiology. Humans. Infant, Newborn. Male. Middle Aged. Pregnancy. Prospective Studies. Stillbirth / epidemiology. World Health Organization. Young Adult

  • [Email] Email this result item
    Email the results to the following email address:   [X] Close
  • [Copyright] © Published [2012]. This article is a U.S. Government work and is in the public domain in the USA. Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
  • (PMID = 22324644.001).
  • [ISSN] 1600-0412
  • [Journal-full-title] Acta obstetricia et gynecologica Scandinavica
  • [ISO-abbreviation] Acta Obstet Gynecol Scand
  • [Language] eng
  • [Grant] United States / NICHD NIH HHS / HD / U01 HD040636; United States / NICHD NIH HHS / HD / U01 HD040657; United States / NICHD NIH HHS / HD / U01 HD043464; United States / NICHD NIH HHS / HD / U10 HD076474
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS665208; NLM/ PMC4362515
  •  go-up   go-down


Advertisement





Advertisement