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Resuscitation in resource-limited settings
Abstract
Intrapartum-related hypoxia leading to deaths and disabilities continues to be a global challenge, especially in resource-limited settings. Primary prevention during labour is likely to have a significant impact, but secondary prevention with focus on immediate basic stabilization at birth can effectively reduce a large proportion of these adverse outcomes as demonstrated in the resource-rich settings. Infants who fail to initiate and establish spontaneous respirations at birth often respond to early interventions such as drying, stimulation, clearing the airways, as well as bag mask ventilation applied within the first minute after birth. Simple resuscitation education such as 'Helping Babies Breathe', which focuses on the very basic steps and pays attention to comprehensive program development with local ownership and accountability, can help transfer competency into clinical practice and lead to sustainable programs impacting neonatal mortality and morbidity.
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The risk factors identified in this study are concordant with those described in the literature.
“The risk factors identified in this study (Fig 4) are concordant with those described in the literature.[24]”
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Metadata
- Authors
- Ersdal, H. L., & Singhal, N.
- Affiliations
- Stavanger University Hospital (NO)
- University of Calgary (CA)
- Corresponding author
- Ersdal, H.L.
- Venue
- Seminars in Fetal and Neonatal Medicine
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 18
- Issue
- 6
- Pages
- 373-378
- ISSN
- 1744-165X (ISSN-L)
- OpenAlex
- W2011547521
- Cited by
- 56
- References
- 41
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 9 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Fetal and Neonatal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- neonatal resuscitation, intrapartum hypoxia, resource-limited settings, Helping Babies Breathe, bag-mask ventilation, neonatal mortality, neonatal morbidity
- MeSH terms
- Asphyxia Neonatorum, Developing Countries, Humans, Infant Mortality, Infant, Newborn, Resuscitation
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