ArticleBMC pediatrics2025
Understanding neonatal unit interventions and breastfeeding outcomes in two hospitals in Ghana to facilitate optimization of newborn care.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Critical Factors Influencing the Uptake of Breastfeeding Support Interventions in Neonatal Intensive Care Units: A Scoping Review.International journal of environmental research and public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInborn babies in many Ghana facilities who need any monitoring or therapy above Essential Newborn Care (ENC) are often separated from postnatal ward dyadic care and sent to Neonatal Units (NUs) due to personnel workload, training gaps or both.
objectivesDescribe (1) care of inborn newborns in NUs at 2 hospitals in Ghana and (2) outcomes, including breastfeeding. We identified stable babies who could potentially be managed by midwives in postnatal wards with appropriate additional training and staffing.
methodsWe conducted a retrospective study from January to December 2022 on inborn newborns in NUs at Greater Accra Regional Hospital (GARH) and Tamale Teaching Hospital (TTH), and the Special Baby Ward at TTH. Data collected included monitoring (glucose), interventions (phototherapy, intravenous antibiotics, thermal and fluid support, oxygen, tube feeds, transfusions) and outcomes (breastfeeding, length of stay, mortality). We used a two-proportion z-test and t-test to test the difference between two proportions and means respectively, with alpha-error of 5% and beta-error 20%. Breastfeeding outcomes were compared between GARH and TTH NUs, and also between babies admitted to the NUs but received no NU interventions and those admitted to the TTH SBW.
resultsOf 2978 inborn newborns admitted to NUs, 11.5% received no NU Interventions. (GARH NU 6.2% (n = 1995) vs. TTH NU 22.1%, (n = 983) p < 0.001). In TTH NU, 3.3% received no listed interventions at all. TTH NU, which administered iv fluids instead of formula to babies during separation, had significantly higher exclusive breastfeeding at discharge. (TTH NU 91.1% vs. GARH NU 66.3%, p < 0.001) Breastfeeding rates were also higher in infants in the TTH SBW vs. infants who received no NU interventions in the TTH NU (TTH SBW 99.3% (n = 261) vs. TTH NU No Intervention group 96.3% (n = 217), p < 0.05).
conclusionsOverall, 11.5% of babies admitted to the two neonatal units did not receive any intensive interventions, including 4.8% of infants < 1800 g. Designing dyadic Intermediate Care between Essential Newborn Care and Special/Intensive care could result in lower census in NUs to permit greater focus on preterm, low-birthweight and sick newborns with higher acuity, and also reduce separation and promote breastfeeding.
Indexed as
Identifiers
What OpenQuestion holds
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.