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Neonatal tactile stimulation at birth in a low-resource setting
Andrea Pietravalle1, Francesco Cavallin2, Anna Opocher1
1Department of Woman's and Child's Health, University of Padua, Azienda Ospedaliera di Padova, Via Giustiniani 3, 35128, Padua, Italy.
BMC Pediatrics
|September 22, 2018
Summary
Tactile stimulation during neonatal resuscitation is often underperformed in low-resource settings. Adherence to guidelines for timing, technique, and duration is low, leading to poor infant response.
Area of Science:
- Neonatal Resuscitation
- Pediatric Emergency Medicine
- Global Health
Background:
- Tactile stimulation is a common neonatal resuscitation intervention.
- Limited data exists on its methods, timing, and efficacy, especially in low-resource settings.
Purpose of the Study:
- To evaluate the occurrence, patterns, and response to tactile stimulation in neonates during birth resuscitation.
- To assess adherence to international guidelines in a low-resource context.
Main Methods:
- Review of 150 neonatal resuscitation video recordings from Beira Central Hospital, Mozambique.
- Evaluation of timing, method, duration, and response to tactile stimulation.
Main Results:
- 68% of neonates received stimulation; 32% received ventilation/compressions directly.
- Stimulation often delayed, with inadequate techniques and prolonged duration.
- Only 8.8% of neonates responded to tactile stimulation.
Conclusions:
- Neonatal tactile stimulation is underperformed in this low-resource setting.
- Low adherence to guidelines results in suboptimal outcomes.
- Further research is needed to compare stimulation methods.
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