Author(s)

Guediouma Dembélé¹, Leyla B. Maiga², Fatoumata Léonie F. Diakité², Fatou Diakité³, Mariam Kané², Niomo Kountao², Mady Niakaté², Tiaria Sanogo², Marianne Djouell², Nouhoum L. Traoré⁴, Hawa Diall³, Lala N. Sidibé³, Djeneba Konaté³, Belco Maiga³, Karamoko Sacko³, Abdoul K. Doumbia³, Pierre Togo³, Adama Dembélé¹, Souleymane Sagara³, Abdoul A. Diakité³, Fatoumata Dicko³

¹Central Directorate of the Army Health Service, Kati, Mali.
²Perinatal Clinic Mohammed VI, Bamako, Mali.
³Department of Pediatrics of the University Hospital Center Gabriel Touré, Bamako, Mali.
⁴Reference Health Center of the District IV, Bamako, Mali.

The care provided in the neonatal period by caregivers in health facilities and by parents in the community is essential for the survival of the newborn. Our work aimed to assess the practice of essential care for newborns at the maternity hospital during the first six hours of life. Methodology: It was a cross-sectional study, which took place over a period of six months and fifteen days (from April 27 to November 12, 2020). We evaluated the practice of immediate care given to newborns over 32 weeks of amenorrhea by the health personnel involved against the recommendations of the World Health Organization (WHO) on essential newborn care (ENC). Results: Our study involved 422 live newborns, which represented 22% of all live births. The sex ratio was 1.2. The gestational age of newborns was 37 to 41Week of Amenorrhea (WA) in 69.2%. The majority of births were performed by doctors specializing in gynecology and obstetrics, or 66.4% of cases. Midwives provided care in 51.7% of cases. Out of 422 newborns, 408 were immediately dried, 96.7% of the time. Less than half (44.1% of newborns) had benefited from the late cord clamping. Eye care was administered to the vast majority of newborns (94.3% of cases). The breastfeeding technique was verified in only 2.8% of cases. Only 1.7% (7 newborns) were monitored during the first six hours of immediate postpartum. In the immediate post-partum period, 18 newborns had problems that required treatment. NNS were correctly administered in 39 newborns (9.2%). Conclusion: Our study shows inadequacies in the practice of essential care for newborns within our maternity. Thus, many newborns can be saved through the practice of essential newborn care (NHS) at different levels of the health pyramid.

Evaluation, Immediate Care, Newborn, Bamako, Mali

Dembélé, G. , Maiga, L. , Diakité, F. , Diakité, F. , Kané, M. , Kountao, N. , Niakaté, M. , Sanogo, T. , Djouell, M. , Traoré, N. , Diall, H. , Sidibé, L. , Konaté, D. , Maiga, B. , Sacko, K. , Doumbia, A. , Togo, P. , Dembélé, A. , Sagara, S. , Diakité, A. and Dicko, F. (2024) Evaluation of the Practice of Immediate Care for Newborns in the Obstetric Gynecology Department of the Gabriel Touré University Hospital of Bamako, Mali. Open Journal of Pediatrics, 14, 1139-1147. doi: 10.4236/ojped.2024.146110.