• 作者：Bjarke Lund Sorensen ; Vibeke Rasch ; Siriel Massawe ; Juma Nyakina ; Peter Elsass ; Birgitte Bruun Nielsen
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：111
• 期：1
• 页码：8-12
• 全文大小：218 K

Objective

Methods

Staff involved in childbirth at Kagera Regional Hospital, Tanzania, attended a 2-day ALSO provider course. In this prospective intervention study conducted between July and November 2008, the management and outcomes of 558 deliveries before and 550 after the training were observed.

Results

There was no significant difference in the rate of cesarean deliveries owing to prolonged labor, and vacuum delivery was not practiced after the intervention. During prolonged labor, action was delayed for more than 3 hours in half of the cases. The stillbirth rate, Apgar scores, and frequency of neonatal resuscitation did not change significantly. After the intervention, there was a significant increase in newborns given to their mothers within 10 minutes, from 5.6 % to 71.5 % (RR 12.71; 95 % CI, 9.04–17.88). There was a significant decrease from 6 to 0 neonatal deaths before discharge among those born with an Apgar score after 1 minute of 4 or more (P = 0.03).

Conclusion

ALSO training had no effect on the management of prolonged labor. Early contact between newborn and mother was more frequently practiced after ALSO training and the immediate neonatal mortality decreased.