Student Dissertation 1st Batch

Assessment and strengthening of immediate newborn care and resuscitation in a tertiary level suburban hospital of Bangladesh.

                                             Ayesha Sania

Abstract

Perinatal care in the hospitals for combating asphyxial incidence and death. Perinatal and neonatal mortality are increasingly important public health issues in developing countries as about two-thirds of infant deaths and one-third of under-five deaths take place in the neonatal period. Birth asphyxia defined as, “failure to initiate and sustain breathing at birth” has been identified by World Health Organization (WHO) as the most frequent cause of early neonatal death worldwide. A recent analysis of cause of perinatal mortality following hospital deliveries in tertiary hospitals of Bangladesh shows rate of asphyxial deaths as substantially higher.
The best way to curtail complication and morbidity of asphyxiated births is to ensure appropriate care immediately after delivery. Simple procedures designed to prevent hypothermia, maintain a patent airway, improve oxygenation and ventilation are sufficient for the majority of newborns. However, as WHO findings suggest, resuscitation is often not initiated or the methods used are inadequate or wrong. In the delivery room of small obstetric units is problematic because of the lack of on-site personnel with adequate training and experience. 

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