TITLE:
Evaluation of the Practice of Immediate Care for Newborns in the Obstetric Gynecology Department of the Gabriel Touré University Hospital of Bamako, Mali
AUTHORS:
Guediouma Dembélé, Leyla B. Maiga, Fatoumata Léonie F. Diakité, Fatou Diakité, Mariam Kané, Niomo Kountao, Mady Niakaté, Tiaria Sanogo, Marianne Djouell, Nouhoum L. Traoré, Hawa Diall, Lala N. Sidibé, Djeneba Konaté, Belco Maiga, Karamoko Sacko, Abdoul K. Doumbia, Pierre Togo, Adama Dembélé, Souleymane Sagara, Abdoul A. Diakité, Fatoumata Dicko
KEYWORDS:
Evaluation, Immediate Care, Newborn, Bamako, Mali
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.6,
November
21,
2024
ABSTRACT: The care provided in the neonatal period by caregivers in health facilities and by parents in the community is essential for the survival of the newborn. Our work aimed to assess the practice of essential care for newborns at the maternity hospital during the first six hours of life. Methodology: It was a cross-sectional study, which took place over a period of six months and fifteen days (from April 27 to November 12, 2020). We evaluated the practice of immediate care given to newborns over 32 weeks of amenorrhea by the health personnel involved against the recommendations of the World Health Organization (WHO) on essential newborn care (ENC). Results: Our study involved 422 live newborns, which represented 22% of all live births. The sex ratio was 1.2. The gestational age of newborns was 37 to 41Week of Amenorrhea (WA) in 69.2%. The majority of births were performed by doctors specializing in gynecology and obstetrics, or 66.4% of cases. Midwives provided care in 51.7% of cases. Out of 422 newborns, 408 were immediately dried, 96.7% of the time. Less than half (44.1% of newborns) had benefited from the late cord clamping. Eye care was administered to the vast majority of newborns (94.3% of cases). The breastfeeding technique was verified in only 2.8% of cases. Only 1.7% (7 newborns) were monitored during the first six hours of immediate postpartum. In the immediate post-partum period, 18 newborns had problems that required treatment. NNS were correctly administered in 39 newborns (9.2%). Conclusion: Our study shows inadequacies in the practice of essential care for newborns within our maternity. Thus, many newborns can be saved through the practice of essential newborn care (NHS) at different levels of the health pyramid.