Evidence map›Paper›PMID 35410324›Full record

ArticleBMC pediatrics2022

Beyond research: improved perinatal care through scale-up of a Moyo fetal heart rate monitor coupled with simulation training in northern Tanzania for helping babies breathe.

Yuda Munyaw, Joshua Gidabayda, Anita Yeconia, Godfrey Guga, Esto Mduma, Paschal Mdoe

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yuda MunyawDepartment of Obstetrics and Gynecology, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania. jmunyaw@gmail.com.
Joshua GidabaydaDepartment of Pediatrics, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania.
Anita YeconiaResearch Centre, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania.
Godfrey GugaResearch Centre, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania.
Esto MdumaResearch Centre, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania.
Paschal MdoeResearch Centre, Haydom Lutheran Hospital, P.O BOX 9000, Haydom, Mbulu, Tanzania.
Haydom Lutheran Hospital · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this project was to improve perinatal survival by introducing Moyo Fetal Heart Rate (FHR) Monitor coupled with neonatal resuscitation simulation training.

methodsThe implementation was done at three district hospitals. We assessed health care workers' (HCW's) skills and perinatal death trends during implementation. Baseline data were collected from the hospitals before implementation. Newborn resuscitation (NR) skills were assessed before and after simulation training. Assessment of perinatal outcomes was done over 2 years of implementation. We used descriptive analysis; a t-test (paired and independent two-sample) and a one-way Anova test to report the findings.

resultsA total of 107 HCW's were trained on FHR monitoring using Moyo and NR knowledge and skills using NeoNatalie simulators. The knowledge increased post-training by 13.6% (p <  0.001). Skills score was increased by 25.5 and 38.2% for OSCE A and B respectively (p <  0.001). The overall fresh stillbirths rate dropped from 9 to 5 deaths per 1000 total births and early neonatal deaths at 7 days from 5 to 3 (p <  0.05) deaths per 1000 live births over 2 years of implementation.

conclusionThere was a significant improvement of newborn resuscitation skills among HCW's and neonatal survival at 2 years. Newborn resuscitation training coupling with Moyo FHR monitor has shown potential for improving perinatal survival. However, further evaluation is needed to explore the full potential of the package.

Indexed as

Perinatal CareSimulation TrainingChildFemaleHeart Rate, FetalHumansInfantInfant, NewbornPregnancyResuscitationTanzaniaFetal heart rateHelping babies breatheMoyoPerinatal deathsScale-up

Identifiers

PMID35410324
PMCPMC8996520
OpenAlexW4223412337

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LicenceCC BY
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Registered trials

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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.