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Impact of ALSO training on the management of prolonged labor and neonatal care at Kagera Regional Hospital, Tanzania
Author(s) -
Sorensen Bjarke Lund,
Rasch Vibeke,
Massawe Siriel,
Nyakina Juma,
Elsass Peter,
Nielsen Birgitte Bruun
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2010.04.031
Subject(s) - medicine , tanzania , neonatal resuscitation , childbirth , apgar score , obstetrics , labour ward , intervention (counseling) , obstetrics and gynaecology , resuscitation , psychological intervention , emergency medicine , pregnancy , nursing , gestational age , environmental science , environmental planning , biology , genetics
Objective To evaluate the management of prolonged labor and neonatal care before and after Advanced Life Support in Obstetrics (ALSO) training. Methods Staff involved in childbirth at Kagera Regional Hospital, Tanzania, attended a 2‐day ALSO provider course. In this prospective intervention study conducted between July and November 2008, the management and outcomes of 558 deliveries before and 550 after the training were observed. Results There was no significant difference in the rate of cesarean deliveries owing to prolonged labor, and vacuum delivery was not practiced after the intervention. During prolonged labor, action was delayed for more than 3 hours in half of the cases. The stillbirth rate, Apgar scores, and frequency of neonatal resuscitation did not change significantly. After the intervention, there was a significant increase in newborns given to their mothers within 10 minutes, from 5.6% to 71.5% (RR 12.71; 95% CI, 9.04–17.88). There was a significant decrease from 6 to 0 neonatal deaths before discharge among those born with an Apgar score after 1 minute of 4 or more ( P = 0.03). Conclusion ALSO training had no effect on the management of prolonged labor. Early contact between newborn and mother was more frequently practiced after ALSO training and the immediate neonatal mortality decreased.