A care bundle including antenatal corticosteroids reduces preterm infant mortality in Tanzania a low resource country.

ABSTRACT:

Background

Preterm neonatal mortality (NM) has remained high and unchanged for many years in Tanzania, a resource-limited country. Major causes of mortality include birth asphyxia, respiratory insufficiency and infections. Antenatal corticosteroids (ACS) have been shown to significantly reduce mortality in developed countries. There is inconsistent use of ACS in Tanzania.

Objective

To determine whether implementation of a care bundle that includes ACS, maternal antibiotics (MA), neonatal antibiotics (NA) and avoidance of moderate hypothermia (temperature < 36°C) targeting infants of estimated gestational age (EGA) 28 to 34 6/7 weeks would reduce NM (< 7 days) by 35%.

Methods

A Pre (September 2014 to May 2015) and Post (June 2015 to June 2017) Implementation strategy w

SUBMITTER: Massawe A 

PROVIDER: S-EPMC5841752 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature