Oxygen management among infants in neonatal units in sub-Saharan Africa: a cross-sectional survey

J Perinatol. 2021 Nov;41(11):2631-2638. doi: 10.1038/s41372-021-01040-7. Epub 2021 Mar 26.

Abstract

Objectives: To provide more comprehensive data on the management of oxygen supplementation in neonates in sub-Saharan Africa.

Study design: An online survey on the management of oxygen supplementation for infants in neonatal units was sent to 278 healthcare personnel in sub-Saharan Africa.

Results: One hundred and nine responses from 82 neonatal care units in 54% (26/48) sub-Saharan African countries were received. All units had the capacity to provide oxygen supplementation. However, only 50% (38/76) had access to blend oxygen with medical air and 1% (1/75) had the capacity to blend oxygen/air for every infant. Although 96% (72/75) of units could monitor oxygen saturation, monitoring was mostly intermittent and only 32% (24/75) were able to monitor oxygen saturation in every infant receiving oxygen supplementation.

Conclusions: Findings indicate that oxygen supplementation is inadequately managed in neonatal units in sub-Saharan Africa, which may put infants at risk of developing severe ROP.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Africa South of the Sahara
  • Cross-Sectional Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Oxygen Inhalation Therapy*
  • Oxygen*
  • Surveys and Questionnaires

Substances

  • Oxygen