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Table 6 Skills of helping babies breathe among health professionals in public hospitals of Southern Ethiopia, 2019

From: Training and well-equipped facility increases the odds of skills of health professionals on helping babies breathe in public hospitals of Southern Ethiopia: cross-sectional study

Categories

Frequency

Percentage (%)

Getting ready

 Make sure equipment is ready for use

347

80.9

 Wash hands and wear gloves

343

80.0

 Quickly dry and wrap or cover the newborn

314

73.2

 Place newborn on the back on the clean, warm surface

288

67.1

 Tell women what is going to be done, listen to her, and respond to her questions and concerns

282

65.7

 Provide emotional support and reassurance

282

65.7

Resuscitating using a bag and mask

 Position head in the slightly extended position

404

94.2

 Suction first the mouth and then the nose

392

91.4

 Introduce catheter into mouth and suction

372

86.7

 Introduce catheter into each nostril and suction

376

87.6

 Suction well if blood or meconium is on the newborn’s mouth and/or nose

383

89.3

 If the baby is still not breathing, start ventilating

390

90.9

 Recheck position of newborn’s head

373

86.9

 Place the correct-sized mask on the newborn’s face

367

85.5

 Form a seal between the mask and the newborn’s face

350

81.6

 Squeeze bag

338

78.8

 Check the seal by ventilating and observing chest rise

353

82.3

If the newborn’s chest is rising:

 Ventilate at 40 breaths/minute

344

80.2

 Observe chest for easy rise and fall

348

81.1

If the newborn’s chest is not rising:

 Check the position of the head again

367

85.5

 Reposition mask to improve the seal

376

87.6

 Squeeze the bag harder; repeat suction

361

84.1

 Ventilate for 1 min and then assess if the newborn is breathing

363

84.6

If breathing is normal (no indrawing or grunting):

 Place in skin-to-skin contact with mother

386

90.0

 Observe breathing at frequent intervals

386

90.0

 Encourage the mother to begin breastfeeding

378

88.1

If the newborn is breathing with severe indrawing:

 Ventilate with oxygen, if available

386

90.0

 Arrange immediate transfer for special care

354

82.5

 If there is no gasping or breathing at all after 20 min of ventilation, stop ventilating

352

82.1

Post-procedure tasks

 Place disposable suction catheters and mucus extractors in a leak-proof container

354

82.5

For reusable catheters and mucus extractors

 Place in a chlorine solution for 10 min

354

82.5

 Wash in water and detergent

354

82.5

 Use a syringe to flush catheters/tubing

351

81.8

 Boil or disinfect in a chemical solution

334

77.9

 Take apart valve/mask and inspect for cracks/tears

333

77.6

 Wash valve/mask and check for damage

339

79.0

 Select sterilization or high-level disinfection method

346

80.7

 Wash hands and dry with a clean cloth or air entry

350

81.6

 After chemical disinfection, rinse all parts with clean water and allow to air dry

355

82.8