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- andpost-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.
RCT Entities:
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.
Authors: Sangappa M Dhaded; Manjunath S Somannavar; Sunil S Vernekar; Shivaprasad S Goudar; Musaku Mwenche; Richard Derman; Janet L Moore; Archana Patel; Omrana Pasha; Fabian Esamai; Ana Garces; Fernando Althabe; Elwyn Chomba; Edward A Liechty; K Hambidge; Nancy F Krebs; Mabel Berrueta; Alvaro Ciganda; Patricia L Hibberd; Robert L Goldenberg; Elizabeth M McClure; Marion Koso-Thomas; Albert Manasyan; Waldemar A Carlo Journal: Reprod Health Date: 2015-06-08 Impact factor: 3.223
Authors: Shivaprasad S Goudar; Norman Goco; Manjunath S Somannavar; Sunil S Vernekar; Ashalata A Mallapur; Janet L Moore; Dennis D Wallace; Nancy L Sloan; Archana Patel; Patricia L Hibberd; Marion Koso-Thomas; Elizabeth M McClure; Robert L Goldenberg Journal: Reprod Health Date: 2015-06-08 Impact factor: 3.223
Authors: Archana Patel; Sherri Bucher; Yamini Pusdekar; Fabian Esamai; Nancy F Krebs; Shivaprasad S Goudar; Elwyn Chomba; Ana Garces; Omrana Pasha; Sarah Saleem; Bhalachandra S Kodkany; Edward A Liechty; Bhala Kodkany; Richard J Derman; Waldemar A Carlo; K Hambidge; Robert L Goldenberg; Fernando Althabe; Mabel Berrueta; Janet L Moore; Elizabeth M McClure; Marion Koso-Thomas; Patricia L Hibberd Journal: Reprod Health Date: 2015-06-08 Impact factor: 3.223
Authors: Anu Thukral; Jocelyn Lockyer; Sherri L Bucher; Sara Berkelhamer; Carl Bose; Ashok Deorari; Fabian Esamai; Sonia Faremo; William J Keenan; Douglas McMillan; Susan Niermeyer; Nalini Singhal Journal: BMC Pediatr Date: 2015-06-24 Impact factor: 2.125
Authors: Luis F Vélez; Mary Sanitato; Donna Barry; Martin Alilio; Franklin Apfel; Gloria Coe; Amparo Garcia; Michelle Kaufman; Jonathan Klein; Vesna Kutlesic; Lisa Meadowcroft; Wendy Nilsen; Gael O'Sullivan; Stefan Peterson; Daniel Raiten; Susan Vorkoper Journal: J Health Commun Date: 2014