Author | Setting/Country | Study Design | Intervention definition | Outcomes: definition | Preterm vs. Intrapartum | N (Births) A = Baseline B = Endline | Effect Size RR/OR (95%CI) |
---|---|---|---|---|---|---|---|
Zhu et al* 1993[45] | Health center, Yinshan, China | Before-and-after study | ABCDE protocol of modern resuscitation with labour ward personel | 1) Asphyxia Case Fatality | Not Stated | A) Number of resuscitations 184 223 | 1) RR 0.94 |
Tholpadi SR et al* 2000[40] | 32 peripheral health centers; Kerala, India | Before-and-after study | AAP NRP Training of village health center physicians, nurses, birth attendants; performance checklist; refresher in 3 months | 1) Asphyxia 2) Asphyxia Mortality (definitions not stated) | Not Stated | A) 874; B) 960 | 1) RR 0.68 (0.15-3.04) |
Jeffery HE et al* 2004[33] | 3 Tertiary care, 13 District Hospitals; Macedonia | Before-and-after study | 10 month perinatal training program doctors and nurses (Neonatal resuscitation, thermal care, jaundice, respiratory distress syndrome, infection control) | 1) PMR 2) Fetal mortality 3) NMR | < 1000 g excluded | A) 68,755 B) 44,263 | 1) RR 0.72 (0.66-0.78) 2) RR 0.79 (0.71-0.89) 3) RR 0.64 (0.56-0.72) |
O'Hare BA et al* 2006[49] | Teaching Hospital; Kampala, Uganda | Before-and-after study | Team of nurses trained in basic resuscitation to attend all deliveries in 1 month period, performance based evaluation; | 1) Mortality of NICU admissions | Preterms excluded | A) 1296; B) 1,046 | 20.8% in control vs. 17.3% in pilot |
Duran R et al* 1998[42] | Tertiary Care Hospital; Trakya, Turkey | Before-and-after study | NRP courses in Trakya region, Turkey 2003 & 2004 | 1) "Asphyxia" NICU admissions 2) Duration of asphyxia hospitalization | Not Stated | Not Stated | 1) 35 vs 13 NICU admissions for asphyxia 2) 15 to 6 days |
Draycott et al* 2006[37] | Maternity Unit; South Meade, UK | Before-and-after study | EOC training course: CTG obstetric emergency drills, and neonatal resuscitation | 1) HIE (MacLennan): | Not Stated | A) 8,430 B) 11,030 | 1) RR 0.50 (0.26-0.95) |
Wang H et al* 2008[41] | 17 general, 23 maternal child health hospitals; China | Before-and-after study | Nationwide AAP NRP training, started in 2004 in 20 provinces | 1) Asphyxia Mortality [Delivery room death infant 1 min Apgar <7] | Preterms not excluded | A) 51,306; B) 68, 247 | 1) RR 0.67 (0.34-1.30) |
Mufti P et al* 2006[35] | Teaching Hospital, Karachi, Pakistan | Before-and-after study | Training in management of low birthweight, respiratory distress, feeding, neonatal sepsis, and neonatal resuscitation. | 1) PMR 2) NMR | Not Stated | A) 2871 B) 4106 | 1) RR 0.85 (0.69-1.05) 2) RR 0.72 (0.51-1.02) |
Boo et al* 2009[43] | National training in all states Malaysia | Historical/ecological study | AAP NRP, national training and certification Perinatal Society; written/practical test for certification; retraining | 1) PMR; 2) NMR (all cause) | Not Stated | National annual births over 8 years | Annual NMR reported over 8 years |
Sen et al* 2009[34] | District Hospital, Purulia India | Before-and-after study | Training in neonatal resuscitation, equipping labor room-OR with resuscitation equipment. | 1) Labor room death (hospital) | Not Stated | A) 5077 B) 6704 | 1) RR 0.56 (0.42-0.75) |
Opiyo N et al* 2008[46] | Public Hospital, Nairobi, Kenya | RCT and before-after | Training of delivery room nurses-midwives in adapted UK resuscitation council. Written-clinical competency assessment. | 1) NMR (all cause) | Not Stated | A) 4367 B) 4084 | NMR 25(pre) vs 26.2 (post-intervention) |
Berglund et al* 2010[36] | Three maternity wards, Ukraine | Before-and-after study | Training maternity staff WHO "Effective Perinatal Care" including emergency obstetric and neonatal care. All maternities equipped for resuscitation | 1) Early NMR | Not Stated | A) 1696 B) 2439 | No significant effect on ENMR |