Initial Steps in Resuscitation of Suspected Birth Asphyxia in the Context of Nursing and Midwifery: A Quantitative Study in Upper East Region of Ghana

Keren-Happuch Twumasiwaa Boateng, Foster Twum, Samuel Kwame Amoako Asirifi
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Abstract

Background: A newborn’s inability to initiate and maintain breathing immediately after birth is referred to as birth asphyxia. In developed countries, the incidence of Birth Asphyxia is 2 per 1000 births, but in developing countries, the rate can be up to 10 times higher than that figure. Globally, 130 million babies are born each year, with Birth Asphyxia accounting for 20.9 percent of all neonatal deaths occurring within the first four weeks of life during this period. Approximately 10% of these babies require some form of assistance to breathe when they are born. Nurses and midwives must have a high level of expertise in the management of birth asphyxia in order to avoid further complications. Methods: A quantitative descriptive, cross-sectional study design was used to assess the management of Birth Asphyxia among Nurses and Midwives at the maternity department of War Memorial Hospital. Convenient sampling technique was used to select study subjects and the sample size was determined using sample size determination table. Results: Of the total 80, 79 (98.8%) of the respondents had knowledge on the standard guidelines and protocols for the management of Birth Asphyxia. Nurses and midwives who were trained, thus 60 out of the total 80 respondents (75%), were more likely to have knowledge of Birth Asphyxia management as compared to those who didn’t get training. The study revealed that 98.8% of nurses and midwives had knowledge of birth asphyxia management. Conclusions: More than half of these health professionals had training on the management of Birth Asphyxia. Frequent trainings were recommended to improve knowledge of nurses and midwives on Birth Asphyxia management.
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护理和助产范围内疑似出生窒息复苏的初始步骤:加纳上东部地区的定量研究
背景:新生儿出生后无法立即启动和维持呼吸被称为出生窒息。在发达国家,出生窒息的发生率为每 1000 名新生儿中 2 例,但在发展中国家,发生率可能比这一数字高出 10 倍。全球每年有 1.3 亿新生儿出生,其中出生窒息占出生后四周内新生儿死亡总数的 20.9%。其中约有 10% 的婴儿在出生时需要某种形式的辅助呼吸。护士和助产士必须具备处理出生窒息的高水平专业知识,以避免进一步的并发症。方法:采用定量描述性横断面研究设计,评估战争纪念医院产科护士和助产士对分娩窒息的处理情况。研究采用方便抽样技术选择研究对象,并使用样本量确定表确定样本量。结果:在总共 80 位受访者中,有 79 位(98.8%)了解处理分娩窒息的标准指南和规程。与未接受过培训的护士和助产士相比,接受过培训的护士和助产士(80 名受访者中的 60 人,占 75%)更有可能掌握有关分娩窒息处理的知识。研究显示,98.8% 的护士和助产士了解出生窒息管理知识。结论半数以上的医疗专业人员接受过有关分娩窒息处理的培训。建议经常开展培训,以提高护士和助产士对出生窒息处理的认识。
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