Table 6 Clinical information and outcomes in newborn infants needing resuscitation at birth where monitoring had not identified any FHR changes
Maternal age (years) | Parity | Change in FHR identified | Delivery | Apgar scores at 1 and 5 min; Wt. of baby | Resuscitation given | Maternal comment |
|---|---|---|---|---|---|---|
18–28 | G2P1 | None. Monitored only every 30 min immediately following 14 contractions | Preterm labour and normal vaginal delivery | 5 and 7 depressed at birth 1.8 Kg | Neonatal clinician called, resuscitated with bag and mask for 12 min and taken to neonatal ward No HIE | Mother said the monitoring help her with her baby, she got a live baby. She was willing and cooperative and ask other mothers to accept the monitoring |
18–28 | G1P0 | None. Monitored only every 30 min immediately following 13 contractions | Normal vaginal delivery | 5 and 10 depressed at birth 3.9Kg | Neonatal clinician was called, did 10–15 min bag and mask ventilation. Oxygen saturation 54%. Admitted NNU. No HIE and went home aged 7 days | According to mother the monitoring is good, it help her deliver her baby live. She was interested in doing it |
18–28 | G2P1 | None. Monitored only every 30 min immediately following 11 contractions | Normal vaginal delivery | 7 and 10 2.8 Kg | Bag and mask ventilation used for 5 min and then recovered. No HIE | Appreciated the listening to her baby until birth. She recommended that all labouring mothers should be able to listen to their fetus during labour |
29–39 | G2P1 | No abnormality detected following 12 contractions | Vacuum delivery unable to push | 5 and 8 3.9Kg | Resuscitated by bag and mask for 10 min. Admitted NNU and given 7 days antibiotics. No HIE. | It help because with all the pain I refused to listen to them. I still got my baby by talking to me good. I found it very good because it help me in getting my baby. No problem. |
18–28 | G2P1 | No abnormality detected following 15 contractions | Normal vaginal delivery | 2 and 0 1.3 Kg 34 weeks’ gestation | Resuscitated by bag and mask ventilation plus chest compressions for 25 min. But then died. | I like the monitoring. I enjoy listening to my baby even though he didn’t survive |
17 and below | G1P0 | No abnormality detected following 58 contractions | Normal vaginal delivery episiotomy for baby stuck at perineum | 5 and 7 2.5Kg | Resuscitated by bag and mask ventilation by neonatal clinician for 8 min then improved and discharged. No HIE. | I see the monitoring good for me and my baby because it my make me to know that my baby is still living. 9th grade student |
18–28 | G2P1 | No abnormality detected following 42 contractions | Vacuum delivery for poor maternal effort | 6 and 8 3.1 Kg | Bag and mask resuscitation for 7 min. Baby was admitted to the NNU for observation. No HIE but had malaria and was treated for 10 days and then discharged well. | OC was contacted during labour. OC/MW took over monitoring: patient says she can’t continue due to the pain. The contractions is too frequent and strong. I like the monitoring. It make me born a living baby but it is hard to do. It is hard to be in pain and holding the machine. |
18–28 | G1P0 | No abnormality detected following 12 contractions | Vacuum for exhaustion: couldn’t push | 7 and 8 3.3 Kg | Bag and mask resuscitation one-two breaths only before baby breathed. Not admitted to NNU. | I find it good. It help me because my baby is alive. No problem with it. |