Quality of Care during Neonatal Resuscitation in Kakamega County General Hospital, Kenya: A Direct Observation Study
Table 2
Performance mean scores for each of the neonatal resuscitation steps.
Step in NR
Observations
Mean score (0-1)
SD (±)
Preparation for resuscitation
Preparation for resuscitation area
138
0.88
0.32
Check NR equipment availability
138
0.88
0.33
Check NR equipment functioning
138
0.88
0.33
Identify a helper
138
0.52
0.5
Overall mean score
0.79
Drying/stimulation
Baby dried thoroughly by gently rubbing the back
138
0.88
0.32
Wet cloth removed
138
0.69
0.46
Baby kept warm
138
0.71
0.46
Overall mean score
0.76
Airway clearance
Looked into airway
123
0.98
0.13
If meconium, suctioning done before stimulation
57
0.4
0.49
Airway cleared with suction bulb if unresponsive
123
1
0
Baby’s head in neutral position
123
0.83
0.38
Overall mean score
0.80
Bag and mask ventilation for
Initial
BMV initiated
66
1.00
0.00
BMV initiated within the Golden minute
66
0.55
0.5
Advanced
HCP call for help
30
0.87
0.35
Correct mask size used during BMV
30
0.83
0.37
Chest movements observed with each ventilation
30
0.63
0.49
BMV rate within 30–50 breaths/minute
30
0.60
0.50
Baby’s HR checked at 1 min
30
0.73
0.45
Overall mean score
0.74
Advanced
Effective breath with chest compressions
24
0.83
0.38
Supportive oxygen
24
0.88
0.34
Overall mean
0.86
15 babies responded to drying, 57 babies responded to airway clearance, babies responded to BMV, and responded to supportive oxygen and/or chest compressions. BMV: bag and mask ventilation; HCP: healthcare provider; HR: heart rate.
