ArticleGlobal health action2018
Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Neonatal resuscitation in Eastern Africa: health care providers' level of knowledge and its determinants. A systematic review and meta-analysis.Global health action · 2024Pooled it
- Improving team performance in neonatal resuscitation: a systematic review of training programs.Maternal health, neonatology and perinatology · 2026Review
- Article
- Neonatal resuscitation knowledge and its determinants among healthcare professionals at Asella referral and teaching hospital, Southeast Ethiopia.BMC pediatrics · 2025Article
- Midwives' experiences with simulation-based team training in newborn resuscitation: impacts on clinical practice.BMC nursing · 2025Article
- Article
- Article
- Providing optimal care in the neonatal care units in India: How Covid-19 exacerbated existing barriers.PLOS global public health · 2024Article
- Silent Tears of Midwives: 'I Want Every Mother Who Gives Birth to Have Her Baby Alive'-A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania.Children (Basel, Switzerland) · 2023Article
- Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births.Advances in simulation (London, England) · 2022Article
- Article
- Factors associated with 5-min APGAR score, death and survival in neonatal intensive care: a case-control study.BMC pediatrics · 2022Article
- Air, Air, Air: a champion midwife programme in Tanzania using HOT neonatal resuscitation-lessons learned.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2022Article
- Interventions to enhance newborn care in north-West Ethiopia: the experiences of health care professionals.BMC pregnancy and childbirth · 2022Article
- Neonatal Resuscitation Skill-Training Using a New Neonatal Simulator, Facilitated by Local Motivators: Two-Year Prospective Observational Study of 9000 Trainings.Children (Basel, Switzerland) · 2022Article
- Silent voices of the midwives: factors that influence midwives' achievement of successful neonatal resuscitation in sub-Saharan Africa: a narrative inquiry.BMC pregnancy and childbirth · 2022Article
- What Is Teamwork? A Mixed Methods Study on the Perception of Teamwork in a Specialized Neonatal Resuscitation Team.Frontiers in pediatrics · 2022Article
- Identifying factors associated with neonatal resuscitation skills among nurses and midwives in Tanzania, sub-Saharan Africa.SAGE open medicine · 2022Article
- Cause and risk factors of early neonatal death in Ethiopia.PloS one · 2022Article
- Poor power quality is a major barrier to providing optimal care in special neonatal care units (SNCU) in Central India.Gates open research · 2022Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers.
objectiveThis study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania.
methodsEight midwives, each with more than one year's working experience in the labour ward, were interviewed individually at Haydom Lutheran Hospital, Tanzania. The audio recordings were transcribed and translated into English and analysed using qualitative content analysis.
resultsMidwives reported the ability to monitor labour properly, preparing resuscitation equipment before delivery, teamwork and frequent ventilation training as the most effective factors in improving actual ventilation practices and promoting the survival of newborns. They thought that their anxiety and fear due to stress of ventilating a non-breathing baby often led to poor resuscitation performance. Additionally, they experienced difficulties assessing the baby's condition and providing appropriate clinical responses to initial interventions at birth; hence, further necessary actions and timely initiation of ventilation were delayed.
conclusionsEfforts should be focused on improving labour monitoring, birth preparedness and accurate assessment immediately after birth, to decrease intrapartum-related hypoxia. Midwives should be well prepared to treat a non-breathing baby through high-quality and frequent simulation training with an emphasis on teamwork training.
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