Results
A total of 1440 newborns were enrolled. Within the neonatal period, 34 newborns died (23.6 per 1000 live births). During the study period, 90 neonatal resuscitations were performed, of which 20 were recorded. Mean time to initiate positive pressure ventilation (PPV) with bag-and-mask was 98 seconds (10 – 416 s), it was inadequately performed in 15 cases (75%). Half (10/20) did not have PPV initiated within the first minute, and in 1 case (5.0%) no PPV was performed. PPV was initiated but not sustained in 16/20 (80%) newborns. Of the 20 infants with videos, 10 died: Eight after failed resuscitation and two in the first 24 hours. The majority of HW 49/56 (87.5%) had received training in NR.Conclusions
Despite nearly 90% of HW being trained in NR, video analysis revealed significant deviations from guidelines, provided direct evidence of gaps in the quality of care and identified areas for future education, particularly effective bag- and mask ventilation.