ENC training reduces perinatal mortality in Karnataka, India
Authors: Goudar, Shivaprasad S.1; Dhaded, Sangappa M.1; McClure, Elizabeth M.2; Derman, Richard J.3; Patil, Vishwanath D.1; Mahantshetti, Niranjana S.1; Bellad, Roopa M.1; Kodkany, Bhala1; Moore, Janet2; Wright, Linda L.4; Carlo, Waldemar A.5
Source: Journal of Maternal-Fetal and Neonatal Medicine, Volume 25, Number 6, June 2012 , pp. 568-574(7)
Publisher: Informa Healthcare
Abstract:Objective: To evaluate the effect of World Health Organization Essential Newborn Care course and the American Academy of Pediatrics Neonatal Resuscitation Program training on perinatal mortality in rural India. Methods: This study was part of a multi-country prospective, community-based cluster randomized controlled trial. Birth, 7-day and 28-day neonatal outcomes for all women with pregnancies greater than 28 weeks in the 26 study communities in Karnataka, India were included. Mortality rates pre- and post-Essential Newborn Care training were collected prospectively and then communities randomized to either receive neonatal resuscitation or refresher newborn care training in the control clusters. Results: Consent was obtained on 99% of the 25,096 births. Perinatal mortality for infants ≥500 g decreased from 52 to 36/1000 after newborn care training (RR 0.7; 95% CI 0.5, 0.9); stillbirth decreased from 23 to 14/1000 (RR 0.62; 95% CI 0.46, 0.83) and early neonatal mortality decreased from 29 to 22/1000 (RR 0.74; 95% CI 0.53, 1.03). Mortality was not reduced further with resuscitation training. Conclusions: Using a pre–post design, World Health Organization Essential Newborn Care community birth attendant training resulted in a significant reduction in perinatal mortality. In low-resource settings, the newborn care training package appears to be an effective intervention to decrease perinatal mortality.
Document Type: Research Article
Affiliations: 1: 1Jawaharlal Nehru Medical College, Belgaum, India 2: 2Research Triangle Institute, North Carolina, USA 3: 3Christiana Care Health Services, Delaware, USA 4: 4Eunice Kennedy Shriver National Institute of Child Health and Human Development, Maryland, USA 5: 5University of Alabama at Birmingham, Alabama, USA
Publication date: June 1, 2012
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- In this Subject: Obstetrics & Gynecology
- By this author: Goudar, Shivaprasad S. ; Dhaded, Sangappa M. ; McClure, Elizabeth M. ; Derman, Richard J. ; Patil, Vishwanath D. ; Mahantshetti, Niranjana S. ; Bellad, Roopa M. ; Kodkany, Bhala ; Moore, Janet ; Wright, Linda L. ; Carlo, Waldemar A.