Name: De Guzman, Aren Peter R.

Date: 11/25/23
Group: BSN 2-J-Group C Name of CI: __________
I. TITLE: Effectiveness of Education Program on Nurse-Midwife's Performance Regarding
Immediate Newborn Care in Delivery Rooms at Maternity Hospitals in Baghdad City/Iraq
AUTHOR: Hussein, W. A., Abbas, I. M.
SOURCE: WILEY-Baghdad College of Medical Sciences/ Nursing Department
YEAR OF PUBLICATION: 2021
II. SUMMARY

This journal discusses the global issue of neonatal mortality, emphasizing that 2.5 million
newborns die within the first month of life, with one million dying on the first day. Most of
these deaths occur in low and middle-income countries, constituting a significant portion of
under-five mortality. The focus on newborn care is crucial, as 46% of total deaths among
children under five occur in the first 28 days, and immediate measures in newborn care are
deemed essential. It stresses the importance of immediate newborn care, particularly in the
first hour after birth, including drying, skin-to-skin contact, cord care, resuscitation, and early
breastfeeding. The need for active participation in the healthcare system, policy
formulation, and enforcement to improve the quality of newborn care is highlighted. Skilled
care during labor and childbirth is identified as a key factor in preventing newborn
mortality, with the continuation of adequate care in the postnatal period preventing 75% of
current newborn deaths. It also underscores the role of nurses and midwives in newborn
care and emphasizes the significance of skilled birth attendance in reducing maternal and
newborn mortality, highlighting the barrier of insufficiently trained staff in achieving this goal.

III. NURSING IMPLICATIONS

A. To Nursing Practice

The findings of this journal have significant implications for nursing practice and require a
comprehensive and proactive approach to improving neonatal outcomes and reducing
neonatal mortality. Nurses are considered key members of the healthcare team and play a
key role in implementing the key interventions highlighted in the study.
Immediately after the newborn, especially in her first hour of care after birth, to effectively
carry out important steps such as drying the infant, promoting skin-to-skin contact, and
maintaining umbilical cord hygiene, requires close attention from nursing staff.
During labor, emphasis is placed on appropriate care, and nurses, especially midwives,
play a central role in providing appropriate and attentive care to ensure a safe birth and
address possible complications. The efforts of the nursing staff to promote exclusive
breastfeeding are critical and lay the foundation for optimal growth and development of
the newborn. Their vigilance and expertise, maternal and newborn monitoring, and
provision of education during the puerperium contribute significantly to continued health
and prevention of neonatal mortality. Furthermore, active participation of nurses in quality
improvement initiatives, continuing education, and supportive health care policies are
essential elements to translate these impacts into effective nursing practice.

B. To Nursing Education

The journal highlights the urgency of nursing education, revealing global statistics of 2.5
million neonatal deaths in the first month, including 1 million deaths in the first day. It
emphasizes immediate measures in the care of newborns, especially in the first hour after
birth, emphasizing the important role of healthcare professionals, including nurses and
midwives. The importance of drying, skin-to-skin contact, clean umbilical cord care,
resuscitation, and early breastfeeding are emphasized to minimize morbidity and mortality.
It also emphasizes the need to improve the quality of neonatal care, identify gaps and
develop/implement health policies. Skilled care during labor and birth is vital, with skilled
staff identified as a major barrier. Overall, the study highlights the need to improve nursing
effectiveness to combat alarming neonatal mortality rates globally.
 C. To Nursing Research

The journal provides a compelling foundation for nursing research by presenting global
statistics on newborn mortality, revealing the critical need for preventive measures. With 2.5
million newborns succumbing within the first month, particularly in low and middle-income
countries, the study underscores the urgency of focusing on newborn care. It emphasizes
the importance of immediate measures as integral components of essential newborn care,
prompting a call for active participation from all healthcare stakeholders. The biologically
programmed and sensitive period after vaginal birth, especially within the first hour,
highlights a unique research focus. The paper advocates for research to enhance and
maintain newborn care, recognizing deficiencies and barriers within healthcare facilities.
Notably, the emphasis on quality care during labor and delivery suggests avenues for
research aimed at improving overall childbirth outcomes. Furthermore, the role of skilled
care in preventing newborn mortality during labor and childbirth underscores the potential
for research to refine and optimize these interventions. In essence, the journal underscores
the significance of nursing research in advancing knowledge and practices for ensuring the
well-being of newborns globally.

IV. PERSONAL INSIGHTS

The insights derived from this journal shed light on the urgent need for comprehensive
advancements in newborn care globally. With a staggering 2.5 million newborn deaths
within the first month, and a million on the first day, the data underscores the critical
importance of immediate measures, especially in low and middle-income countries. The
concentrated nature of deaths in the first days of life emphasizes a pivotal focus on the
initial hours after birth, urging healthcare professionals to play a proactive role. The
biologically programmed and sensitive period post-vaginal birth, notably within the first
hour, emerges as a significant insight, suggesting a potential area for specialized research
and intervention. Moreover, the emphasis on the quality of care during labor and delivery
points to the need for comprehensive strategies to improve childbirth outcomes. The
journal's call for increased emphasis on healthcare system improvements, policy
formulation, and addressing deficiencies in facilities provides valuable insights for shaping
future initiatives aimed at reducing neonatal mortality. Overall, the findings serve as a
compelling impetus for the continuous enhancement of newborn care practices and the
formulation of evidence-based policies to ensure the well-being of infants worldwide.

Checked and Received: (Signature of CI/Date)