TY - JOUR
T1 - Neonatal resuscitation in Vietnam
T2 - a national survey of a middle-income country
AU - Trevisanuto, Daniele
AU - Marchetto, Luca
AU - Arnolda, Gaston
AU - Tran, Dinh Chien
AU - Lincetto, Ornella
AU - Cavallin, Francesco
AU - Ngo, Minh Xuan
AU - Nguyen, Viet Tien
AU - Nguyen, Thi Xuan Hoi
AU - Moccia, Luciano
PY - 2015
Y1 - 2015
N2 - Aim: Interventions that improve neonatal resuscitation are critical if we are to reduce perinatal mortality. We evaluated the consistency of resuscitation practices, and adherence to the international guidelines for neonatal resuscitation, in a large representative sample of hospitals in Vietnam.
Methods: A questionnaire was sent to 187 public central, provincial and district hospitals, representing the three levels of public hospital-based maternity services in Vietnam.
Results: The overall response rate was 85.7% (160/187 hospitals), and the response rate was 100%, 90.3% and 81.7% for central, provincial and district hospitals, respectively. There were 620 300 births in the surveyed hospitals during the year 2011, representing almost half of all inpatient births in Vietnam. Neonatal resuscitation was provided by obstetricians and, or, midwives at all levels. Half of the hospitals did not follow recommendations for delaying cord clamping. The majority of the hospitals did not have a wall thermometer in the delivery room (80.5%) and did not monitor neonatal temperature after birth (64.1%). A large proportion of hospitals (39.9%) used 100% oxygen to initiate resuscitation and only central hospitals avoided this practice.
Conclusion: Our survey identified significant variations in resuscitation practices between central, provincial and district hospitals and limited adherence to international recommendations.
AB - Aim: Interventions that improve neonatal resuscitation are critical if we are to reduce perinatal mortality. We evaluated the consistency of resuscitation practices, and adherence to the international guidelines for neonatal resuscitation, in a large representative sample of hospitals in Vietnam.
Methods: A questionnaire was sent to 187 public central, provincial and district hospitals, representing the three levels of public hospital-based maternity services in Vietnam.
Results: The overall response rate was 85.7% (160/187 hospitals), and the response rate was 100%, 90.3% and 81.7% for central, provincial and district hospitals, respectively. There were 620 300 births in the surveyed hospitals during the year 2011, representing almost half of all inpatient births in Vietnam. Neonatal resuscitation was provided by obstetricians and, or, midwives at all levels. Half of the hospitals did not follow recommendations for delaying cord clamping. The majority of the hospitals did not have a wall thermometer in the delivery room (80.5%) and did not monitor neonatal temperature after birth (64.1%). A large proportion of hospitals (39.9%) used 100% oxygen to initiate resuscitation and only central hospitals avoided this practice.
Conclusion: Our survey identified significant variations in resuscitation practices between central, provincial and district hospitals and limited adherence to international recommendations.
KW - international guidelines
KW - middle-income country
KW - neonatal resuscitation
KW - survey
KW - Vietnam
UR - http://www.scopus.com/inward/record.url?scp=84929512810&partnerID=8YFLogxK
U2 - 10.1111/apa.12925
DO - 10.1111/apa.12925
M3 - Article
VL - 104
SP - E255-E262
JO - Acta Paediatrica
JF - Acta Paediatrica
SN - 1651-2227
IS - 6
ER -