Impact of education and training on neonatal resuscitation practices in 14 teaching hospitals in India.
The impact of a neonatal resuscitation programme (NRP) on the incidence, management and outcome of birth asphyxia was evaluated in 14 teaching hospitals in India. Two faculty members from each institution attended a neonatal resuscitation certification course and afterwards trained staff in their respective hospitals. Each institution provided 3 months pre-intervention and 12 months post-intervention data. Introduction of the NRP significantly increased awareness and documentation of birth asphyxia, as judged by an increased incidence of asphyxia based on apnoea or gasping at 1 and 5 minutes (p < 0.001 and < 0.01, respectively). A significant shift towards more rational resuscitation practices was indicated by a decline in the use of chest compression and medication (p < 0.001 for each), and an increase in the use of bag and mask ventilation (p < 0.001). Although overall neonatal mortality did not decrease, asphyxia-related deaths declined significantly (p < 0.01).
Division of Neonatology, Department of Pediatrics, WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. ashokdeorari_56@hotmail.com
A K
AK
Deorari
V K
VK
Paul
M
M
Singh
D
D
Vidyasagar
D016009:Chi-Square Distribution; D003906:Developing Countries; D004502:Education, Medical, Continuing; D005311:Fetal Hypoxia / Q000401:mortality / Q000628:therapy*; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods*; D016896:Treatment Outcome