[French-Bulgarian program "Resuscitation of the newborn in a delivery room"--results and perspectives].
Since the year 2000 in Republic Bulgaria was started the French Bulgarian Program "Resuscitation of the Newborn in Delivery Room" (DR). The main goal was to reduce the neonatal mortality rate due to perinatal and intrapartal asphyxia and their consequences. This was achieved by providing the Delivery rooms in the City hospitals with resuscitation equipment and improving the qualification of the personal. The French foundation Medecines du Monde has ensured the materials--Baby balloons for ventilation, laryngoscopes and Magiles for each DR and a handbook with the guidelines of the neonatal resuscitation for each of the participants. In the period 2000-2003 French and Bulgarian neonatologists from the university obstetric hospitals visited all the DR in the country and two training seminars for resuscitation of the newborn were carried out in each of them. The first positive results of this program are: reduced neonatal mortality rate from 7.8% in 2001 to 6.8% in 2003 (P < 0.05). Asphyxia as a mean cause for death in the neonatal period was 9% in 2001 and dropped to 8% in 2003. To keep on improving this results is necessary to continue improving the qualification of personal working in DR--neonatologists, obstetricians and midwifes and be sure that resuscitation equipment is always ready for action.
Vakrilova
L
L
Elleau
Ch
Ch
Slŭncheva
B
B
D002031:Bulgaria / Q000453:epidemiology; D003696:Delivery Rooms / Q000592:standards*; D005602:France; D006801:Humans; D007226:Infant Mortality / Q000639:trends; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods* / Q000592:standards; D007391:International Cooperation; D009313:National Health Programs / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D012151:Resuscitation / Q000295:instrumentation / Q000379:methods / Q000592:standards