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4. Premature or Just Small? Training Guatemalan Birth Attendants to Weigh and Assess Gestational Age of Newborns: An Analysis of Outcomes.

Author

Thompson, LisaM., Levi, AmyJ., Bly, KC, Ha, Christina, and Keirns, Teresa

Subjects
MIDWIFERY education, CHILDBIRTH at home, ANTHROPOMETRY, BIRTH weight, LOW birth weight, CHI-squared test, GESTATIONAL age, HOME care services, NEWBORN screening, INTERVIEWING, RESEARCH methodology, MOTHERS, REGRESSION analysis, RESEARCH funding, RURAL conditions, STATISTICAL sampling, STATISTICS, T-test (Statistics), DATA analysis, CROSS-sectional method, DESCRIPTIVE statistics
Abstract

We describe Guatemalan birth attendants’ identification of vulnerable newborns, their evaluation of gestational age and anthropometry, and the validity of the Capurro and New Ballard newborn gestational age assessment methods. We interviewed 49 birth attendants and trained 10 of these women to assess 63 newborns. The Capurro and Ballard methods were correlated (Spearman rho = .75,p< .001) and showed agreement (Bland-Altman plot, difference and bias, −0.33 ± 1.3 weeks). Prematurity was estimated at 27% (Ballard) and 24% (Capurro); low birth weight (LBW) was 30%. Capurro provided a simplified, equivalent estimate of gestational age compared with New Ballard that could be used by birth attendants. [ABSTRACT FROM PUBLISHER]

Published
2014
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