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Challenges of immediate newborn care in maternity units in Lagos, Nigeria: An observational study.

Asp, G; Sandberg, J; Ezechi, Oliver LU and Odberg Pettersson, Karen LU (2011) In Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology 31(7). p.612-616
Abstract
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... (More)
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. (Less)
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Contribution to journal
publication status
published
subject
in
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
volume
31
issue
7
pages
612 - 616
external identifiers
  • WOS:000295614400012
  • PMID:21973135
  • Scopus:80053629397
ISSN
1364-6893
DOI
10.3109/01443615.2011.593652
language
English
LU publication?
yes
id
c71ad018-a9de-453e-8127-98ff6ea485a8 (old id 2200807)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21973135?dopt=Abstract
date added to LUP
2011-11-02 08:15:37
date last changed
2016-10-13 04:34:06
@misc{c71ad018-a9de-453e-8127-98ff6ea485a8,
  abstract     = {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.},
  author       = {Asp, G and Sandberg, J and Ezechi, Oliver and Odberg Pettersson, Karen},
  issn         = {1364-6893},
  language     = {eng},
  number       = {7},
  pages        = {612--616},
  series       = {Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology},
  title        = {Challenges of immediate newborn care in maternity units in Lagos, Nigeria: An observational study.},
  url          = {http://dx.doi.org/10.3109/01443615.2011.593652},
  volume       = {31},
  year         = {2011},
}