::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

GAP IDENTIFICATION IN BIRTH ASPHYXIA MANAGEMENT AMONG CMW'S IN DIST RICT HAFIZABAD, PAKISTAN

AUTHORS:

Mr. Ali Raza, Miss. Saira Alyas, Dr. Zubia Qureshi

ABSTRACT:

Background: In Pakistan, Neonatal Mortality Rate (NMR) has remained static since 1994 (1). In early neonatal period approximately 82% deaths are attributed to Birth Asphyxia (2, 3). Methodology: A cross sectional study was conducted to assess the CMWs knowledge regarding birth asphyxia in district Hafiz Abad, Pakistan. All the CMWs were included in the study, except those who were on leave in the study duration. Pre-structured questionnaire was used for this purpose. SPSS version 21 was used for analysis. Results: Response rate of this study is about 90%. Results showed that most of the CMWs i.e. 40 (72.7%) were below the age of 30 years, while 24 (40%) were married. Most of them 58.2% (32) had less than 3 years of experince as a community midwife. Regarding the diagnosis of Birth Asphyxia, 35 (63.6%) consider depressed breathing as sign of birth asphyxia. About 55% of the Community midwives took 30 minutes to resuscitate the baby. About 49% of them indicated that they use fetoscope to monitor the fetal heart rate. Age group and marital status of midwives found significantly associated with the proper diagnosis of Birth Asphyxia (P-value = <0.05). Cross tabulation results show that CMW’s age and marital status not significantly associated with time taken to manage the birth asphyxia (P-Value 0.164 and 0.141 respectively), while professional experience is significantly associated with it with p-value <0.001. Recommendations: There is need for continuous training of CMW’s in proper resuscitation and management skills of Birth Asphyxia. In addition, there is also a need to ensure the availability of resuscitating equipment’s and proper resources, so that the quality of proper neonatal care is ensured. Key words: Birth Asphyxia, Neonates, Mortality, Community midwives, Knowledge, Management.