摘要
Birth is the transition from fetal life to ectopic life. This transition is usually smooth. Only 10% of newborns will need birth assistance. Successful resuscitation is linked to the skills of the health worker. It is to assess their skills that this work was undertaken with the objective of evaluating the practice of neonatal resuscitation in the delivery room of the RHC maternity hospital in District V of Bamako. Methodology: This was a descriptive cross-sectional study over a four-month period. We included in the study all live newborns who had a gestational age greater than or equal to 32 weeks and who had an Apgar score at the first minute of less than 7. At each birth, we observe the health agent responsible for the care of the newborn by observing the preparation of resuscitation and compliance with the neonatal resuscitation algorithm. We have excluded all newborns who met our inclusion criteria, were reanimated outside of our collection time and had visible or diagnosed anomalies or malformations in the prenatal period, and those whose parents refused to give their consent to participate in the study. Data were collected from the survey sheet and analyzed with the Statistical Package for Social Sciences (SPSS) software version 25. Results: We observed a 24.66% frequency of neonatal resuscitation. Pregnancies were too close in 15% (less than one year). Caesarean section delivery represented 34% of the sample. They were at term in 93% of cases. All newborns were well dried (98.5%), with wet linen change only at 49.5%. Apgar was less than 3 in 7.5% of newborns at first. The resuscitation needs were for the absence of a scream in 78.5% of cases and or heart rate Conclusion: The study evaluated neonatal resuscitation practices at a maternity hospital in Bamako, Mali. It found a 24.66% resuscitation rate, with a 95.5% success rate despite technical limitations. Most steps were correctly applied, though some improvements are needed in areas like preventing hypothermia and equipment preparation.
Birth is the transition from fetal life to ectopic life. This transition is usually smooth. Only 10% of newborns will need birth assistance. Successful resuscitation is linked to the skills of the health worker. It is to assess their skills that this work was undertaken with the objective of evaluating the practice of neonatal resuscitation in the delivery room of the RHC maternity hospital in District V of Bamako. Methodology: This was a descriptive cross-sectional study over a four-month period. We included in the study all live newborns who had a gestational age greater than or equal to 32 weeks and who had an Apgar score at the first minute of less than 7. At each birth, we observe the health agent responsible for the care of the newborn by observing the preparation of resuscitation and compliance with the neonatal resuscitation algorithm. We have excluded all newborns who met our inclusion criteria, were reanimated outside of our collection time and had visible or diagnosed anomalies or malformations in the prenatal period, and those whose parents refused to give their consent to participate in the study. Data were collected from the survey sheet and analyzed with the Statistical Package for Social Sciences (SPSS) software version 25. Results: We observed a 24.66% frequency of neonatal resuscitation. Pregnancies were too close in 15% (less than one year). Caesarean section delivery represented 34% of the sample. They were at term in 93% of cases. All newborns were well dried (98.5%), with wet linen change only at 49.5%. Apgar was less than 3 in 7.5% of newborns at first. The resuscitation needs were for the absence of a scream in 78.5% of cases and or heart rate Conclusion: The study evaluated neonatal resuscitation practices at a maternity hospital in Bamako, Mali. It found a 24.66% resuscitation rate, with a 95.5% success rate despite technical limitations. Most steps were correctly applied, though some improvements are needed in areas like preventing hypothermia and equipment preparation.
作者
Fatoumata Léonie F. Diakité
Guediouma Dembélé
Leyla B. Maiga
Hawa Traoré
Mariam Kané
Soumana Oumar Traoré
Niomo Kountao
Lala N. Sidibé
Adama Dembélé
Mady Niakaté
Tiaria Sanogo
Marianne Djouell
Nouhoum L. Traoré
Hawa Diall
Djeneba Konaté
Belco Maiga
Karamoko Sacko
Abdoul K. Doumbia
Souleymane Sagara
Abdoul A. Diakité
Fatoumata Dicko-Traoré
Fatoumata Léonie F. Diakité;Guediouma Dembélé;Leyla B. Maiga;Hawa Traoré;Mariam Kané;Soumana Oumar Traoré;Niomo Kountao;Lala N. Sidibé;Adama Dembélé;Mady Niakaté;Tiaria Sanogo;Marianne Djouell;Nouhoum L. Traoré;Hawa Diall;Djeneba Konaté;Belco Maiga;Karamoko Sacko;Abdoul K. Doumbia;Souleymane Sagara;Abdoul A. Diakité;Fatoumata Dicko-Traoré(Perinatal Clinic Mohammed VI, Bamako, Mali;Central Directorate of the Army Health Service, Kati, Mali;Reference Health Center of the District V, Bamako, Mali;Department of Pediatrics of the University Hospital Center Gabriel Tour, Bamako, Mali;Farako Clinic, Bamako, Mali;Reference Health Center of the District IV, Bamako, Mali)
