The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.
Newborn resuscitation in resource-limited settings
Abstract
Every year, an estimated 4 million newborn infants die worldwide in the first 4 weeks of life. A large majority of these deaths occurs during the first day of life. One of the United Nations' eight Millennium Development Goals is to decrease child mortality; prevention of neonatal deaths by appropriate resuscitation will have a significant impact on achieving this goal. Newborn resuscitation needs to be carried out in all the settings where asphyxiated babies are born, including: community or domiciliary settings for home births; rural health centers/midwifery stations, where attendants with basic resuscitation skills might be available; district-level facilities where staff are available but skills vary; and urban referral and tertiary care centers. Individuals at all levels require training and seldomly used skills need to be maintained so that, when required, resuscitation can be carried out efficiently and effectively. Simple resuscitation techniques include: positioning, drying, and keeping the baby warm; assessing the heart rate, color, and respirations; recognizing the need for, and administering, assisted ventilation with a bag and mask or tube and mask. These maneuvers can be carried out with simple equipment and appropriate training. Research in developing countries remains sparse, with 90% of research being done in more developed parts of the world, which experience just 10% of the problems. The significant gaps in our understanding include: failing to agree on a definition of the term 'asphyxia', lack of knowledge of the impact of community approaches on the prevention and management of asphyxia, and a failure to recognize the best method to determine heart rate.
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“It is well recognised that moderate to severe birth hypoxia can have long-term consequences.[10]”
Citations
Cites
4 million neonatal deaths: When? Where? Why?
Lawn, J. E., Cousens, S., & Zupan, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71048-5 · Cited by 3,670
WHO estimates of the causes of death in children
Bryce, J., Boschi-Pinto, C., Shibuya, K., & Black, R. E. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71877-8 · Cited by 2,108
Evidence-based, cost-effective interventions: How many newborn babies can we save?
Darmstadt, G. L., Bhutta, Z. A., Cousens, S., Adam, T., Walker, N., & de Bernis, L. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71088-6 · Cited by 1,541
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Bhutta, Z. A., Darmstadt, G. L., Hasan, B. S., & Haws, R. A. (2005) · PEDIATRICS · doi:10.1542/peds.2004-1441 · Cited by 707
Self-citationStillbirth rates: delivering estimates in 190 countries
Stanton, C., Lawn, J. E., Rahman, H. A., Wilczynska-Ketende, K., & Hill, K. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68586-3 · Cited by 497
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Neonatal survival: a call for action
Martines, J., Paul, V. K., Bhutta, Z. A., Koblinsky, M. A., Soucat, A. L. B., Walker, N., Bahl, R., Fogstad, H., & Costello, A. M. D. L. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71882-1 · Cited by 316
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1 of the 43 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- American Academy of Pediatrics Neonatal Resuscitation Program Steering Committee, 2006, 2005 American Heart Association (AHA). Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) of Pediatric and Neonatal Patients: Neonatal Resucitation Guidelines, Pediatrics, 117, e1
- 2005, ILCOR. 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations, hosted by the American Heart Association in Dallas, Texas, January 23–30, 2005, Resuscitation, 112, III-91
Cited by
Sorted by citations
Lee, A. C., Cousens, S., Wall, S. N., Niermeyer, S., Darmstadt, G. L., Carlo, W. A., Keenan, W., Bhutta, Z. A., Gill, C. J., & Lawn, J. E. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-s3-s12 · Cited by 501
Self-citationWall, S. N., Lee, A. C., Niermeyer, S., English, M., Keenan, W., Carlo, W. A., Bhutta, Z. A., Bang, A. T., Narayanan, I., Ariawan, I., et al. (2009) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2009.07.013 · Cited by 355
Self-citationStillbirth and Newborn Mortality in India After Helping Babies Breathe Training
Goudar, S. S., Somannavar, M. S., Clark, R. B., Lockyer, J., Revankar, A. P., Fidler, H., Sloan, N. L., Niermeyer, S., Keenan, W., & Singhal, N. (2013) · PEDIATRICS · doi:10.1542/peds.2012-2112 · Cited by 211
Self-citation'Helping Babies Breathe' Training in Sub-Saharan Africa: Educational Impact and Learner Impressions
Hoban, R. A., Bucher, S., Neuman, I., Chen, M., Tesfaye, N., & Spector, J. (2013) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fms077 · Cited by 65
Nair, N., Tripathy, P., Prost, A., Costello, A. M. D. L., & Osrin, D. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000246 · Cited by 57
Metadata
- Authors
- Singhal, N., & Bhutta, Z. A.
- Affiliations
- University of Calgary (CA)
- Aga Khan University (PK)
- Corresponding author
- Singhal, Nalini
- Venue
- Seminars in Fetal and Neonatal Medicine
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 13
- Issue
- 6
- Pages
- 432-439
- ISSN
- 1744-165X (ISSN-L)
- OpenAlex
- W2104937841
- Cited by
- 33
- References
- 43
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2018: 2 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 3
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Fetal and Neonatal Medicine (publishedVersion)
- PubMed (publishedVersion)
- eCommons - AKU (Aga Khan University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- neonatal resuscitation, neonatal asphyxia, resource-limited settings, home birth, bag-mask ventilation, neonatal mortality, resuscitation training, rural health facilities
- MeSH terms
- Algorithms, Asphyxia Neonatorum, Developing Countries, Home Nursing, Hospitals, District, Humans, Hypothermia, Infant, Newborn, Midwifery, Respiration, Artificial, Resuscitation, Rural Health Services
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