Evidence · Randomised trial
Effect of a scaled-up neonatal resuscitation quality improvement package on intrapartum-related mortality in Nepal: A stepped-wedge cluster randomized controlled trial.
- Delivery room and stabilisation
- Education and simulation
- Families and professional practice
- Medical
- Newborn life support
- Nursing
- Quality improvement
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
Stepped-wedge cluster randomised trial across 12 Nepali hospitals evaluating a scaled-up quality improvement package for neonatal resuscitation, covering about 89,000 births. The package combined hospital leadership on intrapartum care, health worker competency training in neonatal resuscitation and facilitated QI cycles in clinical units. Intrapartum-related mortality (intrapartum stillbirth and first-day deaths) fell during the intervention period, while the reduction in early neonatal mortality was not statistically significant. Relevant to resuscitation training and QI implementation in resource-limited settings.
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- Licence:
- Open (Creative Commons)
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