title: Effect of a Neonatal Resuscitation Course on Healthcare Providers' Performances Assessed by Video Recording in a Low-Resource Setting.
abstract: BACKGROUND
  We assessed the effect of an adapted neonatal resuscitation program (NRP) course on healthcare providers' performances in a low-resource setting through the use of video recording.
  
  
  METHODS
  A video recorder, mounted to the radiant warmers in the delivery rooms at Beira Central Hospital, Mozambique, was used to record all resuscitations. One-hundred resuscitations (50 before and 50 after participation in an adapted NRP course) were collected and assessed based on a previously published score.
  
  
  RESULTS
  All 100 neonates received initial steps; from these, 77 and 32 needed bag-mask ventilation (BMV) and chest compressions (CC), respectively. There was a significant improvement in resuscitation scores in all levels of resuscitation from before to after the course: for "initial steps", the score increased from 33% (IQR 28-39) to 44% (IQR 39-56), p<0.0001; for BMV, from 20% (20-40) to 40% (40-60), p = 0.001; and for CC, from 0% (0-10) to 20% (0-50), p = 0.01. Times of resuscitative interventions after the course were improved in comparison to those obtained before the course, but remained non-compliant with the recommended algorithm.
  
  
  CONCLUSIONS
  Although resuscitations remained below the recommended standards in terms of quality and time of execution, clinical practice of healthcare providers improved after participation in an adapted NRP course. Video recording was well-accepted by the staff, useful for objective assessment of performance during resuscitation, and can be used as an educational tool in a low-resource setting.
authors.affiliation: Department of Women and Children Health, School of Medicine, Padua University, Azienda Ospedaliera di Padova, Padua, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
authors.affiliation: Department of Women and Children Health, School of Medicine, Padua University, Azienda Ospedaliera di Padova, Padua, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Bertuola
authors.affiliation: Doctors with Africa CUAMM, Padua, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Lanzoni
authors.affiliation: Independent Statistician, Padua, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.affiliation: Department of Obstetrics and Gynecology, Beira Central Hospital, Beira, Mozambique.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Matediana
authors.affiliation: Pediatric Department, Beira Central Hospital, Beira, Mozambique.
authors.forename: Olivier Wingi
authors.initials: OW
authors.lastname: Manzungu
authors.affiliation: Pediatric Department, Beira Central Hospital, Beira, Mozambique.
authors.forename: Ermelinda
authors.initials: E
authors.lastname: Gomez
authors.affiliation: Department of Women and Children Health, School of Medicine, Padua University, Azienda Ospedaliera di Padova, Padua, Italy.
authors.forename: Liviana
authors.initials: L
authors.lastname: Da Dalt
authors.affiliation: Doctors with Africa CUAMM, Padua, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Putoto
mesh_terms: D000328:Adult; D003479:Curriculum; D005260:Female; D006282:Health Personnel; D006295:Health Resources; D006801:Humans; D007231:Infant, Newborn; D012151:Resuscitation; D013997:Time Factors; D014741:Video Recording