Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda
Objectives Birth asphyxia is a significant factor contributing to neonatal mortality, particularly in low- and middle-income countries where most neonatal deaths occur. Encouraging women to deliver in hospitals has become a pivotal strategy. Numerous training programmes, such as Helping Babies Breat...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/2/e094012.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825198435357163520 |
|---|---|
| author | Anna Bergstrom Josaphat Byamugisha Susanna Myrnerts Höök Marielle Abrahamsson Sarah Namusoko |
| author_facet | Anna Bergstrom Josaphat Byamugisha Susanna Myrnerts Höök Marielle Abrahamsson Sarah Namusoko |
| author_sort | Anna Bergstrom |
| collection | DOAJ |
| description | Objectives Birth asphyxia is a significant factor contributing to neonatal mortality, particularly in low- and middle-income countries where most neonatal deaths occur. Encouraging women to deliver in hospitals has become a pivotal strategy. Numerous training programmes, such as Helping Babies Breathe (HBB), have been designed to impart neonatal resuscitation and infant care skills to support breathing at birth. Limited attention has been given to exploring the perspectives and experiences of midwives and their hospital managers in translating the acquired knowledge from these programmes into practice. This study aims to explores the understanding, perspectives, and first-hand experiences related to the factors impacting neonatal resuscitation practices and survival, both pre-HBB and post-HBB training.Design Qualitative individual interviews and focus group discussions study. A data-driven inductive content analysis approach was used for the analysis.Setting The high-risk labour ward and theatre at a National Referral Hospital, Uganda.Participants 45 clinically active midwives were enrolled; all had recently completed the HBB training programme.Intervention Semistructured individual interviews (n=2) and focus group discussions (n=43, distributed across seven groups) were held from 26 April to 4 May 2018. Discussions were audio-recorded and transcribed verbatim.Results Three emerging themes illustrated midwives’ knowledge, opinion on and experience of neonatal resuscitation and survival. Excessive workload, limited access to clean equipment, and ethical dilemmas hampered performance and neonatal survival. Midwives, facing inadequate support, strived to ensure patient safety. While HBB training addresses malpractices, additional training was needed.Conclusions Midwives had few opportunities to change their workload and improve their education. This highlights the need for a closer examination of the challenges faced by healthcare providers in ensuring effective neonatal resuscitation and survival in low-resource settings. To address this, we propose better routines for organising work, cleaning and maintaining equipment, and implementing better training routines. |
| format | Article |
| id | doaj-art-5c1f3f9a958e452ea3d2c5095b2184d6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5c1f3f9a958e452ea3d2c5095b2184d62025-02-08T05:45:11ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-094012Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in UgandaAnna Bergstrom0Josaphat Byamugisha1Susanna Myrnerts Höök2Marielle Abrahamsson3Sarah Namusoko46 Department of Women’s and Children’s Health; Centre for Health and Sustainability, Uppsala Universitet, Uppsala, Sweden5 Department of Obstetrics and Gynaecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda1 Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden3 Sachs Children and Youth Hospital, Södersjukhuset AB, Stockholm, Stockholm County, Sweden4 Department of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Central Region, UgandaObjectives Birth asphyxia is a significant factor contributing to neonatal mortality, particularly in low- and middle-income countries where most neonatal deaths occur. Encouraging women to deliver in hospitals has become a pivotal strategy. Numerous training programmes, such as Helping Babies Breathe (HBB), have been designed to impart neonatal resuscitation and infant care skills to support breathing at birth. Limited attention has been given to exploring the perspectives and experiences of midwives and their hospital managers in translating the acquired knowledge from these programmes into practice. This study aims to explores the understanding, perspectives, and first-hand experiences related to the factors impacting neonatal resuscitation practices and survival, both pre-HBB and post-HBB training.Design Qualitative individual interviews and focus group discussions study. A data-driven inductive content analysis approach was used for the analysis.Setting The high-risk labour ward and theatre at a National Referral Hospital, Uganda.Participants 45 clinically active midwives were enrolled; all had recently completed the HBB training programme.Intervention Semistructured individual interviews (n=2) and focus group discussions (n=43, distributed across seven groups) were held from 26 April to 4 May 2018. Discussions were audio-recorded and transcribed verbatim.Results Three emerging themes illustrated midwives’ knowledge, opinion on and experience of neonatal resuscitation and survival. Excessive workload, limited access to clean equipment, and ethical dilemmas hampered performance and neonatal survival. Midwives, facing inadequate support, strived to ensure patient safety. While HBB training addresses malpractices, additional training was needed.Conclusions Midwives had few opportunities to change their workload and improve their education. This highlights the need for a closer examination of the challenges faced by healthcare providers in ensuring effective neonatal resuscitation and survival in low-resource settings. To address this, we propose better routines for organising work, cleaning and maintaining equipment, and implementing better training routines.https://bmjopen.bmj.com/content/15/2/e094012.full |
| spellingShingle | Anna Bergstrom Josaphat Byamugisha Susanna Myrnerts Höök Marielle Abrahamsson Sarah Namusoko Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda BMJ Open |
| title | Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda |
| title_full | Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda |
| title_fullStr | Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda |
| title_full_unstemmed | Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda |
| title_short | Midwives’ knowledge and perspectives on neonatal resuscitation and survival before and after Helping Babies Breathe training: a qualitative study in Uganda |
| title_sort | midwives knowledge and perspectives on neonatal resuscitation and survival before and after helping babies breathe training a qualitative study in uganda |
| url | https://bmjopen.bmj.com/content/15/2/e094012.full |
| work_keys_str_mv | AT annabergstrom midwivesknowledgeandperspectivesonneonatalresuscitationandsurvivalbeforeandafterhelpingbabiesbreathetrainingaqualitativestudyinuganda AT josaphatbyamugisha midwivesknowledgeandperspectivesonneonatalresuscitationandsurvivalbeforeandafterhelpingbabiesbreathetrainingaqualitativestudyinuganda AT susannamyrnertshook midwivesknowledgeandperspectivesonneonatalresuscitationandsurvivalbeforeandafterhelpingbabiesbreathetrainingaqualitativestudyinuganda AT marielleabrahamsson midwivesknowledgeandperspectivesonneonatalresuscitationandsurvivalbeforeandafterhelpingbabiesbreathetrainingaqualitativestudyinuganda AT sarahnamusoko midwivesknowledgeandperspectivesonneonatalresuscitationandsurvivalbeforeandafterhelpingbabiesbreathetrainingaqualitativestudyinuganda |