ArticlePediatrics2010
Newborn care training of midwives and neonatal and perinatal mortality rates in a developing country.
Article in Pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
37 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Maternal and Child Health Training of Traditional Birth Attendants and Pregnancy Outcomes: A Systematic Review and Meta-analysis.Journal of epidemiology and global health · 2024Pooled it
- Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries.The Cochrane database of systematic reviews · 2019Pooled it
- The effectiveness of training in emergency obstetric care: a systematic literature review.Health policy and planning · 2019Pooled it
- Neonatal Mortality in Hospitalized Chinese Population: A Meta-Analysis.BioMed research international · 2019Pooled it
- Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants.The Cochrane database of systematic reviews · 2015Pooled 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
- Safe birth in cultural safety in southern Mexico: a pragmatic non-inferiority cluster-randomised controlled trial.BMC pregnancy and childbirth · 2022Trial
- Development of children at risk for adverse outcomes participating in early intervention in developing countries: a randomized controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2014Trial
- Randomized trial of early developmental intervention on outcomes in children after birth asphyxia in developing countries.The Journal of pediatrics · 2013Trial
- Neurodevelopmental outcomes in infants requiring resuscitation in developing countries.The Journal of pediatrics · 2012Trial
- Benefits of neonatal resuscitation training in high- and low-resource settings.Seminars in fetal & neonatal medicine · 2026Review
- Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review.BMC health services research · 2025Article
- Capabilities of perinatal healthcare institutions in primary and tertiary care of low birth weight infants in the Federation of Bosnia and Herzegovina: a cross-sectional multicentric study.Annals of medicine and surgery (2012) · 2024Article
- Staying Current: Developing Just-in-time Evidence-Based Learning Objectives for a Maternal Cardiac Arrest Simulation Curriculum.Cardiology and cardiovascular medicine · 2022Article
- Association between birth attendant type and delivery site and perinatal outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019Observational
- Maternal and perinatal death surveillance and response in Ethiopia: Achievements, challenges and prospects.PloS one · 2019Article
- How is implementation research applied to advance health in low-income and middle-income countries?BMJ global health · 2019Article
- Does the safe childbirth checklist (SCC) program save newborn lives? Evidence from a realistic quasi-experimental study, Rajasthan, India.Maternal health, neonatology and perinatology · 2019Article
- Improving quality of care for maternal and newborn health: a pre-post evaluation of the Safe Childbirth Checklist at a hospital in Bangladesh.BMC pregnancy and childbirth · 2017Article
- Improved referral and survival of newborns after scaling up of intensive care in Suriname.BMC pediatrics · 2017Article
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8 authors.
Funding
Abstract
objectiveThis study was designed to test the hypothesis that 2 training programs would reduce incrementally 7-day neonatal mortality rates for low-risk institutional deliveries.
methodsUsing a train-the-trainer model, certified research midwives sequentially trained the midwives who performed deliveries in low-risk, first-level, urban, community health clinics in 2 cities in Zambia in the protocol and data collection, in the World Health Organization Essential Newborn Care (ENC) course (universal precautions and cleanliness, routine neonatal care, resuscitation, thermoregulation, breastfeeding, kangaroo care, care of small infants, and common illnesses), and in the American Academy of Pediatrics Neonatal Resuscitation Program (in-depth basic resuscitation). Data were collected during 3 periods, after implementation of each training course.
resultsA total of 71 689 neonates were enrolled in the 3 study periods. All-cause, 7-day neonatal mortality rates decreased from 11.5 deaths per 1000 live births to 6.8 deaths per 1000 live births after ENC training (relative risk: 0.59 [95% confidence interval: 0.48-0.77]; P < .001), because of decreases in rates of deaths attributable to birth asphyxia and infection. Perinatal mortality rates but not stillbirth rates decreased. The 7-day neonatal mortality rate was decreased further after Neonatal Resuscitation Program training, after correction for loss to follow-up monitoring.
conclusionsENC training for midwives reduced 7-day neonatal mortality rates in low-risk clinics. Additional in-depth basic training in neonatal resuscitation may reduce mortality rates further.
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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.