Journal
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING
Volume 36, Issue 6, Pages 531-541Publisher
BLACKWELL PUBLISHING
DOI: 10.1111/j.1552-6909.2007.00183.x
Keywords
essential newborn care; health provider training; intervention studies; neonatal care; Sri Lanka
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Objective: To evaluate the effectiveness of a training program for care providers in improving practice of essential newborn care in obstetric units. Design: Before-and-after study with an intervention and a control group. Setting: Five hospitals in the Puttalam district in Sri Lanka. Participants: Eight hundred and ninety-two mother-newborn pairs (446 before and 446 three months after). Intervention: A 4-day training program on essential newborn care for doctors, nurses, and midwives of the obstetric units in two hospitals. Main Outcome Measures: By direct observation, practices of essential newborn care at delivery in the labor room on a subsample. By interviewing mothers, immediate skin-to-skin contact and early initiation of breastfeeding. From health records, undesirable health events of the newborns. Results: Practices of cleanliness, thermal protection, and neonatal assessment improved significantly in the intervention group. The intervention was effective in improving skin-to-skin contact by 1.5 times and early initiation of breastfeeding by 3.4 times. Undesirable health events declined from 32 to 21 per 223 newborns in the intervention group and from 20 to 17 per 223 newborns in the control group. Conclusion: A comprehensive 4-day training program can be followed by a significant improvement in essential newborn care practices in obstetric units.
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