ReviewTransactions of the Royal Society of Tropical Medicine and Hygiene2006
Newborn resuscitation: defining best practice for low-income settings.
Review in Transactions of the Royal Society of Tropical Medicine and Hygiene, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality effect.BMC public health · 2011Pooled it
- Effect of training traditional birth attendants on neonatal mortality (Lufwanyama Neonatal Survival Project): randomised controlled study.BMJ (Clinical research ed.) · 2011Trial
- Effect of newborn resuscitation training on health worker practices in Pumwani Hospital, Kenya.PloS one · 2008Trial
- Predicting the Need for Cardiopulmonary Resuscitation in Preterm Infants in the Delivery Room Using Machine Learning Models: Analysis of a Korean Neonatal Network Database.Journal of Korean medical science · 2025Article
- Determinants of early neonatal mortality (hospital based retrospective cohort study in Somali region of Ethiopia).Scientific reports · 2023Article
- Caesarean section provision and readiness in Tanzania: analysis of cross-sectional surveys of women and health facilities over time.BMJ open · 2018Article
- Single-Use Bag Valve Masks: Evaluation of Device Design and Residual Bioburden Analytical Methods.Journal of biomedical science and engineering · 2018Article
- Article
- Article
- Developing guidelines in low-income and middle-income countries: lessons from Kenya.Archives of disease in childhood · 2017Article
- Neonatal resuscitation in global health settings: an examination of the past to prepare for the future.Pediatric research · 2017Review
- Observational
- Effect of a short training on neonatal face-mask ventilation performance in a low resource setting.PloS one · 2017Article
- Reduced neonatal mortality in a regional hospital in Mozambique linked to a Quality Improvement intervention.BMC pregnancy and childbirth · 2016Article
- Learning from health care workers' opinions for improving quality of neonatal health care in kilimanjaro region, northeast Tanzania.Annals of medical and health sciences research · 2014Article
- Neurological distress in Togolese newborn: Prevalence, causes and clinical features.Journal of pediatric neurosciences · 2013Article
- A neonatal resuscitation curriculum in Malawi, Africa: did it change in-hospital mortality?International journal of pediatrics · 2012Article
- Neonatal resuscitation in low-resource settings: what, who, and how to overcome challenges to scale up?International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2009Review
- Are hospitals prepared to support newborn survival? - An evaluation of eight first-referral level hospitals in Kenya.Tropical medicine & international health : TM & IH · 2009Article
- Developing and introducing evidence based clinical practice guidelines for serious illness in Kenya.Archives of disease in childhood · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Current resuscitation practices are often poor in low-income settings. The purpose of this review was to summarise recent evidence, relevant to developing countries, on best practice in the provision of newborn resuscitation. Potential studies for inclusion were identified using structured searches of MEDLINE via PubMed. Two reviewers independently evaluated retrieved studies for inclusion. The methodological quality of the selected articles was assessed using the Oxford Centre for Evidence-Based Medicine (CEBM) levels of evidence, whilst the Scottish Intercollegiate Guidelines Network (SIGN) grading system was used for subsequent recommendations. Based on available evidence, where there is meconium-stained liquor, routine perineal suction of all babies and endotracheal suction of active babies do not prevent meconium aspiration syndrome and have potential risks. Adequate ventilation is possible with a bag-valve-mask device and room air is just as efficient as oxygen for initial resuscitation. This review supports the view that effective resuscitation is possible with basic equipment and minimal skills. Thus, where resources are limited, it should be possible to improve neonatal outcomes through promotion of the effective use of a bag-valve-mask alone, without access to more sophisticated and expensive technologies. Basic, effective resuscitation should therefore be available at all health facilities and potentially in the community.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.