title: Neonatal resuscitation in Vietnam: a national survey of a middle-income country.
abstract: OBJECTIVE
  Interventions that improve neonatal resuscitation are critical if we are to reduce perinatal mortality. We evaluated the consistency of resuscitation practices, and adherence to the international guidelines for neonatal resuscitation, in a large representative sample of hospitals in Vietnam.
  
  
  METHODS
  A questionnaire was sent to 187 public central, provincial and district hospitals, representing the three levels of public hospital-based maternity services in Vietnam.
  
  
  RESULTS
  The overall response rate was 85.7% (160/187 hospitals), and the response rate was 100%, 90.3% and 81.7% for central, provincial and district hospitals, respectively. There were 620 300 births in the surveyed hospitals during the year 2011, representing almost half of all inpatient births in Vietnam. Neonatal resuscitation was provided by obstetricians and, or, midwives at all levels. Half of the hospitals did not follow recommendations for delaying cord clamping. The majority of the hospitals did not have a wall thermometer in the delivery room (80.5%) and did not monitor neonatal temperature after birth (64.1%). A large proportion of hospitals (39.9%) used 100% oxygen to initiate resuscitation and only central hospitals avoided this practice.
  
  
  CONCLUSIONS
  Our survey identified significant variations in resuscitation practices between central, provincial and district hospitals and limited adherence to international recommendations.
authors.affiliation: Children and Women's Health Department, Medical School University of Padua, Padua, Italy.|Amici della Neonatologia Trentina, Trento, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
authors.affiliation: Children and Women's Health Department, Medical School University of Padua, Padua, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Marchetto
authors.affiliation: East Meets West, Oakland, CA, USA.|School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Gaston
authors.initials: G
authors.lastname: Arnolda
authors.affiliation: East Meets West, Oakland, CA, USA.
authors.forename: Tran Dinh
authors.initials: TD
authors.lastname: Chien
authors.affiliation: World Health Organization, Country Office Papua New Guinea, Port Moresby, Papua New Guinea.
authors.forename: Ornella
authors.initials: O
authors.lastname: Lincetto
authors.affiliation: Independent Statistician, Padua, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.affiliation: University of Medicine Pham Ngoc Thach, Ho Chi Minh City, Vietnam.|Perinatal and Neonatal Association of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
authors.forename: Ngo Minh
authors.initials: NM
authors.lastname: Xuan
authors.affiliation: Ministry of Health, Hanoi, Vietnam.
authors.forename: Nguyen Viet
authors.initials: NV
authors.lastname: Tien
authors.affiliation: East Meets West, Oakland, CA, USA.
authors.forename: Nguyen Thi Xuan
authors.initials: NT
authors.lastname: Hoi
authors.affiliation: Amici della Neonatologia Trentina, Trento, Italy.|East Meets West, Oakland, CA, USA.
authors.forename: Luciano
authors.initials: L
authors.lastname: Moccia
mesh_terms: D003696:Delivery Rooms / Q000706:statistics & numerical data*; D006767:Hospitals, District / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D012151:Resuscitation / Q000379:methods / Q000706:statistics & numerical data*; D014744:Vietnam
keywords: International guidelines; Middle-income country; Neonatal resuscitation; Survey; Vietnam