title: Survey of neonatal resuscitation practices showed post-training improvements but need to reinforce preterm management, monitoring and adrenaline use.
abstract: OBJECTIVE
  Neonatal resuscitation surveys have showed practice variations between countries, centres and levels of care. We evaluated delivery room practices after a nationwide neonatal resuscitation training programme focused on nontertiary centres.
  
  
  METHODS
  A 2012 survey sent to all Spanish hospitals handling deliveries covered staff availability and training, equipment and practices in the delivery room and during transfers to neonatal intensive care units. The results from 98 centres that had completed a previous survey in 2007 were analysed by levels of care. Pearson's chi-square test was used to compare the proportions.
  
  
  RESULTS
  The following had significantly improved in 2012 compared to 2007: the availability of T-piece resuscitators (71.4% vs. 41.8%), plastic wraps (69.4% vs. 31.6%), gas blenders (79.6% vs. 40.8%), pulse oximetry (92.9% vs. 61.2%), use of continuous positive airway pressure (82.7% vs. 43.9%) (all p < 0.01), the availability of instructors (55.6% vs. 83.3%, p < 0.05) and neonatal resuscitation courses (40.8% vs. 79.6%, p < 0.05) in nontertiary centres. In 2012, the use of exhaled carbon dioxide detectors was <7% and endotracheal administration of adrenaline was >90%.
  
  
  CONCLUSIONS
  Neonatal resuscitation equipment and practices improved over time, but several aspects needed to be reinforced in training programmes, namely preterm infants' management, monitoring and adrenaline administration.
authors.affiliation: Division of Neonatology, BCNatal Hospital Sant Joan de Déu-Hospital Clínic, Esplugues de Llobregat (Barcelona), Spain.|Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III, Spanish Ministry of Economy and Competitiveness, Barcelona, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Izquierdo
authors.affiliation: Division of Neonatology, BCNatal Hospital Sant Joan de Déu-Hospital Clínic, Esplugues de Llobregat (Barcelona), Spain.|Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III, Spanish Ministry of Economy and Competitiveness, Barcelona, Spain.
authors.forename: Martín
authors.initials: M
authors.lastname: Iriondo
authors.affiliation: Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III, Spanish Ministry of Economy and Competitiveness, Barcelona, Spain.|Division of Neonatology, Hospital de la Vall d'Hebrón, Barcelona, Spain.
authors.forename: César
authors.initials: C
authors.lastname: Ruiz
authors.affiliation: Division of Neonatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.|Health Research Institute Gregorio Marañón (IiSGM), CIBEREHD, Madrid, Spain.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Zeballos
authors.affiliation: Division of Neonatology, Hospital Puerta del Hierro, Majadahonda (Madrid), Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Sánchez
authors.affiliation: Division of Neonatology, Hospital Alvaro Cunqueiro, Beade (Pontevedra), Spain.|Biomedical Research Institute University of Santiago de Compostela, La Coruña, Spain.
authors.forename: Eva
authors.initials: E
authors.lastname: González
authors.affiliation: Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III, Spanish Ministry of Economy and Competitiveness, Barcelona, Spain.|Division of Neonatology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
authors.forename: Máximo
authors.initials: M
authors.lastname: Vento
authors.affiliation: Department of Newborn Research, The Royal Women's Hospital, Melbourne, Victoria, Australia.|Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.|PIPER - Neonatal Retrieval Services, The Royal Children's Hospital, Melbourne, Victoria, Australia.
authors.forename: Marta
authors.initials: M
authors.lastname: Thió
mesh_terms: D003696:Delivery Rooms / Q000592:standards; D019983:Guideline Adherence; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D012151:Resuscitation / Q000295:instrumentation / Q000592:standards*; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: Delivery room; Neonatal resuscitation; Preterm infant; Survey; Training