The Baby-Saver Kit: Clinical Testing of a Device for Neonatal Resuscitation With Intact Cord in Uganda

Study Overview
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Brief Summary
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To examine the usability, safety and acceptability of the BabySaver kit: a novel device for neonatal resuscitation in a low-income region in Africa

Detailed Description
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The BabySaver kit will be used for any delivery in which the baby requires resuscitation according to the hospital policy, national guidelines(Ministry of Health, 2016) and WHO policy(World Health Organization, 2014) The target sample size for observation will be 30 babies requiring resuscitation at Mbale Regional Referral Hospital Delivery suite. The researchers will observe midwives and mothers during the process of resuscitation. This will be a non-participant observation. The researchers will collect data on: demographics, the timing of cord clamping, time to establish ventilation, intervention provided on the kit, post-resuscitation temperature, need to move the baby to provide extra care, and notes of the ease of use or challenges experienced with the kit. The researchers will ask health workers for their views of the usability of the kit in comparison to the equipment in current use. The researchers have developed a usability checklist to assess how health workers are using the BabySaver kit.

Official Title
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The Baby-Saver Kit: Development and Evaluation of a Novel Device for Affordable Neonatal Resuscitation in a Low-income Region in Africa

Conditions
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Birth Asphyxia, Neonatal Resuscitation, Maternal Distress

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: As this is the first delivery suite to use the kit in a clinical setting, we will include only low-risk babies in this study. Every low-risk birth that will need neonatal resuscitation will be selected and observations made for the use of the BabySaver resuscitation kit. Exclusion Criteria: High risk deliveries will be excluded, namely babies born before 34 weeks' gestation, babies with life threatening malformations or significant intrapartum asphyxia

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from 10 minutes in post-resuscitation temperature at 30 minutes | The researcher will measure post resuscitation temperatures at 10, 20 and 30 minutes afterbirth for babies not admitted to the neonatal unit after using the BabySaver. | Between 10 and 30 minutes after birth | 
| Number of procedures performed to newborns while on the BabySaver kit | The researcher will list any resuscitation procedures or interventions provided to the newborns on the kit. | at birth, upto 30 minutes | 
| change from childbirth in post-resuscitation temperature at admission to Neonatal unit. | For babies admitted to the neonatal unit, the baby's temperature will be measured on admission to the Neonatal unit | Upon admission to Neonatal unit, up to 1 hour after birth | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from birth in Apgar score at 5 minutes | Apgar score will be recorded at 1 minute and 5 minutes. Resuscitation of babies at birth will be performed in line with existing hospital guidelines. | upto 5 minutes | 
| Demographic assessments | Researchers will collect both mother's (age, marital status, education, occupation) and baby's demographic characteristics (sex, birth weight, gestation at birth). | baseline | 
| Design assessments transcripts | Researchers will collect data about design and practical aspects of the BabySaver kit from mothers, carers, midwives and doctors in form of audio and video recordings and extra notes. These will be transcribed verbatim for analysis using an NVivo qualitative software. | uptown 2 months |