Abstract
The aim of this work was to analyze the organization and execution of immediate essential care for newborns in referral hospitals in Conakry. Immediate essential newborn care is a key component for a maternity hospital. lower risk, but often overlooked by health providers. Methodology: This was a descriptive and analytical cross-sectional study carried out through an observation of the practices of immediate care for newborns and the individual interview of providers in six referral hospitals in urban areas of Conakry, from April 1 to June 30, 2020. We have carried out an exhaustive recruitment of all providers working in the delivery room and meeting the inclusion criteria. We used the checklist, the written questionnaire for individual interviews and the provider observation grid. Provider knowledge and practice was observed during immediate neonatal care. The independent variables were socio-demographic factors and personal and institutional factors. Statistical comparisons were made using the chi-square test. the differences were considered significant for p<0.05. Results: In this study 69 providers agreed to participate in the study, with a response rate of 100%, the largest proportion 61/69 (88.4%) were midwives, In terms of knowledge: 56, 5% of providers cited all the equipment and consumables to be prepared at the time of childbirth, 94.2% on thermal protection, 82.6% on the components of immediate newborn care, In terms of skills: 84.1% of our providers recognized newborns needing resuscitation and 15.9% were competent on this procedure, skin-to-skin contact was achieved in 68.1%. On the other hand, thermal protection is statistically linked to knowledge of the normal temperature of the newborn p=0.015. For the prevention of infection, there is a significant relationship with the training of providers p=0.001. Conclusion: Globally, newborn care providers have gaps in the knowledge and practice of the immediate care they offer newborns, this situation can only be improved by close monitoring of providers.
Highlights
Neonatal mortality remains a public health problem the trend is decreasing [1]
Qualification of providers Midwife Health technician acting as a midewife Recycled acting as nurse Nurse acting as a midwife Total Experience in the work One year 2 – 5 years 6 – years Plus, de years Total Immediate Essential Care Training Newborns between 2018-2019 Soins obstétricaux et néonatals d’urgences de base Soins essentiels aux nouveau-nés Aucune formation Total Practice of post-training care basic emergency obstetric and neonatal care Newborn care not provided Total
The practice of caring for newcomers, in our study 71% of our providers were competent in building confidence in the parturient through greeting and presentation; 92.8% consulted the antenatal consultation booklet, 47.8% asked for the progress of the pregnancy, 89.9% were competent in the preparation of the delivery table and equipment to bring according to their use, 69, 6% wore personal protective equipment; 53.6% were skilled in episiotomy repair and 91.3% were skilled in postpartum care
Summary
Neonatal mortality remains a public health problem the trend is decreasing [1]. The countries of subSaharan Africa have the highest rates. The number of neonatal deaths was 3 million in 2011 and the neonatal mortality rate equal to 22 per 1000 live births in the world [2]. In this part of the African continent there are 1.16 million deaths of newborns during the first month of life and one million cases of stillbirths. Up to half a million African babies die the same day they are born [3].
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