Determinants Of Quality Neonatal Resuscitation Among Nurses And Midwives At The Ga West Hospital

Abstract

Background: Asphyxia occurs in every two per thousand births in developed countries with ten times higher incidence rates in developing countries due to limited maternal and neonatal care. The competence of midwives and nurses in performing quality neonatal resuscitation is very crucial in helping babies initiate breathing hence reducing neonatal morbidity and mortality rates. . Objective: The aim of this study is to assess the determinants of quality neonatal resuscitation among nurses and midwives at the Ga West Municipal Hospital. Methods: The study employed a cross-sectional design including field observation of newborn resuscitation in the maternity theatre and labour unit to assess the practice, knowledge and factors influencing a quality neonatal resuscitation among nurses and midwives at the GaWest Municipal Hospital. Data was analyzed using STATA/MP 15 for windows with a simple logistic regression. All analysis were considered statistically significant at probability value less than 0.05 with these variables used for multiple logistic regression. Results: Nurses and midwives had a high score (good) for drying/stimulation (75%), fair for bag and mask ventilation for breathing (71.0%) and poor for preparation for resuscitation (26.0%). Educational level (aOR = 34.33; 95% CI = 1.64 – 720.63; p = 0.023) and Training on the job (aOR = 183.25; 95% CI = 6.09 – 5516.96; p = 0.003) predicted the quality of NR (drying/stimulation). Years of experience is associated with good quality airway clearance (aOR = 5.06; 95% CI = 1.00 – 25.58; p = 0.050). Conclusion: Majority of the midwives and nurses had inadequate knowledge of neonatal resuscitation (82.1%). Not all the nurses and midwives could indicate the correct order of preliminary steps of newborn resuscitation. Increased practice of NR increases the odds of quality NR among nurses/midwives.