Table 2 Total adherence score and proportion of asphyxia protocol items adhered to before and during intervention implementation
| Protocol item | aPre-trial period (N = 75) | bTrial period (N = 66) | ||
|---|---|---|---|---|
|
Intervention n (%) |
Control n (%) |
Intervention n (%) |
Control n (%) | |
| Diagnosis | ||||
| Diagnosis documented | 8 (100.0) | 66 (98.5) | 14 (93.3) | 51 (100.0) |
| Signs and symptoms | ||||
| Description of difficulty in breathing | 0 (0.0) | 14 (20.9) | 7 (46.7) | 16 (32.0) |
| Heart rate neonate recorded | 0 (0.0) | 5 (7.5) | 4 (26.7) | 48 (94.1) |
| Tachycardia | 0 (0.0) | 11 (16.4) | 4 (26.7) | 48 (94.1) |
| Respiratory rate | 0 (0.0) | 45 (67.2) | 5 (33.3) | 48 (94.1) |
| Colour of baby | 0 (0.0) | 25 (37.3) | 5 (33.3) | 45 (88.2) |
| APGAR scores written | 8 (100.0) | 63 (94.0) | 14 (93.3) | 48 (94.1) |
| Liquor assessed for meconium staining | 2 (25.0) | 21 (31.3) | 4 (26.7) | 8 (15.7) |
| Treatment | ||||
| Airway of neonate cleared through suction | 1 (12.5) | 42 (62.7) | 4 (26.7) | 14 (27.5) |
| Warmth provided (using incubator or wrapping) | 7 (87.5) | 43 (64.2) | 2 (13.3) | 43 (84.3) |
| Oxygen given / Bag and mask resuscitation | 5 (62.5) | 55 (82.1) | 9 (60.0) | 49 (96.1) |
| Total adherence score | ||||
| 1 | – | – | 1 (6.7) | – |
| 2 | – | 3 (4.5) | 3 (20.0) | 1 (2.0) |
| 3 | 2 (25.0) | 6 (9.0) | 3 (20.0) | 2 (3.9) |
| 4 | 5 (62.5) | 7 (10.5) | 1 (6.7) | – |
| 5 | 1 (12.5) | 10 (14.9) | 3 (20.0) | – |
| 6 | – | 14 (20.9) | – | – |
| 7 | – | 13 (19.4) | – | 3 (5.9) |
| 8 | – | 13 (19.4) | – | 23 (45.1) |
| 9 | – | 1 (1.5) | 3 (20.0) | 15 (29.4) |
| 10 | – | – | 1 (6.7) | 7 (13.73) |
