Practice and outcomes of neonatal resuscitation for newborns with birth asphyxia at Kakamega County General Hospital, Kenya: a direct observation study

Table 3 Neonatal resuscitation performance at the Kakamega County General Hospital

NR step performance	Number	Percent	95% CI
Drying/Stimulation (n = 138)
Baby dried thoroughly by gently rubbing the back	122	88	83–94
Wet cloth removed	95	69	61–77
Baby kept warm	98	71	63–79
Airway clearance (n = 123)
Checked airway	121	98	96–100
Meconium ©	57	46	37–55
If meconium, suctioning done before stimulation	23	40	27–53
Airway cleared with suction bulb if unresponsive	123	100
Baby’s head in neutral position	102	83	76–90
Bag and mask ventilation for breathing (n = 66)
Initial BMV initiated within the Golden minute	36	55	42–67
Subsequent BMV (n = 30)
HCP call for help	26	87	74–100
Correct mask size used during BMV	25	83	69–97
Chest movements observed with each ventilation	19	63	45–82
BMV rate within 30–50 breaths/minute	18	60	41–79
Baby’s HR checked at 1 min	22	73	56–90
Cardiopulmonary resuscitation (n = 24)
Chest compressions	20	83	67–99
Supportive oxygen	21	88	73–102

Meconium © meconium present in airway, BMV Bag and mask ventilation, HCP Healthcare provider, HR Heart rate). Percentages rounded off to the nearest whole number

ISSN: 1471-2431