G152(P) Multidisciplinary Newborn Resuscitation Training in Ethiopia and the RCPCH VSO Fellowship Scheme

ObjectivesGlobally, perinatal mortality remains high, especially in sub-Saharan countries, mainly because of inadequate obstetric and newborn care. Helping Babies Breathe (HBB) resuscitation training as part of a continuous quality improvement (CQI) programme may improve outcomes. The aim of this study was to describe observed changes in perinatal survival during a 6-year period, while adjusting for relevant perinatal risk factors.SettingDelivery rooms and operating theatre in a rural referral hospital in northern-central Tanzania providing comprehensive obstetric and basic newborn care 24 hours a day. The hospital serves approximately 2 million people comprising low social-economic status.ParticipantsAll newborns (n=31 122) born in the hospital from February 2010 through January 2017; 4893 were born in the 1-year baseline period (February 2010 through January 2011), 26 229 in the following CQI period.InterventionsThe HBB CQI project, including frequent HBB training, was implemented from February 2011. This is a quality assessment analysis of prospectively collected observational data including patient, process and outcome measures of every delivery. Logistic regression modelling was used to construct risk-adjusted variable life adjusted display (VLAD) and cumulative sum (CUSUM) plots to monitor changes in perinatal survival (primary outcome).ResultsDuring the 6-year CQI period, the unadjusted number of extra lives saved according to the VLAD plot was 150 despite more women admitted with pregnancy and labour complications and more caesarean deliveries. After adjusting for these risk factors, the risk-adjusted VLAD plot indicated that an estimated 250 extra lives were saved. The risk-adjusted CUSUM plot confirmed a persistent and steady increase in perinatal survival.ConclusionsThe risk-adjusted statistical process control methods indicate significant improvement in perinatal survival after initiation of the HBB CQI project with continuous focus on newborn resuscitation training during the period, despite a concomitant increase in high-risk deliveries. Risk-adjusted VLAD and CUSUM are useful methods to quantify, illustrate and demonstrate persistent changes in outcome over time.

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Effect of Newborn Resuscitation Training on Health Worker Practices in Pumwani Hospital, Kenya

PLoS ONE ◽

10.1371/journal.pone.0001599 ◽

2008 ◽

Vol 3 (2) ◽

pp. e1599 ◽

Cited By ~ 44

Author(s):

Newton Opiyo ◽

Fred Were ◽

Fridah Govedi ◽

Greg Fegan ◽

Aggrey Wasunna ◽

...

Keyword(s):

Health Worker ◽

Newborn Resuscitation ◽

Resuscitation Training

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Use of Simulation in Newborn Resuscitation Education: Systematic Review

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2021.03789 ◽

2021 ◽

Author(s):

Süreyya Sarvan ◽

Emine Efe

Keyword(s):

Systematic Review ◽

Health Care Professionals ◽

Neonatal Resuscitation ◽

Google Scholar ◽

Current Evidence ◽

Knowledge And Skills ◽

Newborn Resuscitation ◽

Study Results ◽

Resuscitation Training ◽

Academic Search

Objective: Every year, millions of newborns around the world need the help of health professionals to take their first breath. Healthcare professionals need to have comprehensive knowledge and skills of specified in the neonatal resuscitation algorithm to perform life-saving interventions quickly and accurately. However, since neonatal resuscitation is a rather complicated task, deviations from this algorithm are common. In this article, it is aimed to review the current evidence of simulation used to improve neonatal resuscitation training. Methods: This research is the systematic review design and is a qualitative research based on document analysis of the articles. The universe of the study consisted of 116 articles from 2015-2020, accessed from databases such as Medline Complete, Academic Search Complete, Academic Search Ultimate, CINAHL Complete, Directory of Open Access Journals, Google Scholar and Google Scholar. Nine articles that satisfy the criteria for inclusion in this study were evaluated within the scope of the study. Results: Eight of the nine studies included in the study were reported to be in use high reality simulations. In all studies, educational content ranging from theoretical lessons based on neonatal resuscitation guidance and simulated resuscitation training to scenario-based practices were reported. In simulations to evaluate skill performances Megacode scenario was used in five studies, simulator software in one study, and a standard evaluation form in three studies. Conclusion: In the current studies, despite the improvement in knowledge and skill performance immediately after neonatal resuscitation training, the protection of knowledge and skills in the long term is controversial. For this reason, it may be recommended to conduct refresher trainings for the protection of newborn resuscitation knowledge and skills of health care professionals.

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Evaluation of the cognitive effect of newborn resuscitation training on health-care workers in selected states in Northern Nigeria

Annals of African Medicine ◽

10.4103/aam.aam_47_17 ◽

2018 ◽

Vol 17 (1) ◽

pp. 33

Author(s):

LawalWaisu Umar ◽

HafsatRufa'I Ahmad ◽

Abdulkadir Isah ◽

HafsatWasagu Idris ◽

Laila Hassan ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Northern Nigeria ◽

Cognitive Effect ◽

Newborn Resuscitation ◽

Care Workers ◽

Resuscitation Training

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Attitudes Of Healthcare Workers In Low-Resource Settings To Mobile Virtual Reality Simulations For Newborn Resuscitation Training – A Report From The eHBB/mHBS Study

10.1542/peds.147.3_meetingabstract.229 ◽

2021 ◽

Author(s):

Rachel A. Umoren ◽

Shruti Patel ◽

Sherri L. Bucher ◽

Fabian Esamai ◽

Chinyere Ezeaka ◽

...

Keyword(s):

Virtual Reality ◽

Healthcare Workers ◽

Low Resource Settings ◽

Low Resource ◽

Newborn Resuscitation ◽

Resuscitation Training

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Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality

Neonatology ◽

10.1159/000443875 ◽

2016 ◽

Vol 110 (3) ◽

pp. 210-224 ◽

Cited By ~ 25

Author(s):

Mohan Pammi ◽

Eugene M. Dempsey ◽

C. Anthony Ryan ◽

Keith J. Barrington

Keyword(s):

Neonatal Mortality ◽

Newborn Resuscitation ◽

Early Neonatal Mortality ◽

Resuscitation Training ◽

Training Programmes

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Neonatal Resuscitation Skills Among Pediatricians and Family Physicians: Is Residency Training Preparing for Postresidency Practice?

Journal of Graduate Medical Education ◽

10.4300/jgme-d-10-00234.1 ◽

2011 ◽

Vol 3 (4) ◽

pp. 475-480 ◽

Cited By ~ 11

Author(s):

Amy M. Wood ◽

M. Douglas Jones ◽

James H. Wood ◽

Zhaoxing Pan ◽

Thomas A. Parker

Keyword(s):

Family Medicine ◽

Rural Areas ◽

Current Practice ◽

Neonatal Resuscitation ◽

Family Physicians ◽

Newborn Resuscitation ◽

Rural Physicians ◽

Resuscitation Training ◽

National Cohort ◽

Umbilical Catheters

Abstract Background Pediatricians and family physicians are responsible for providing newborn resuscitation, yet Accreditation Council for Graduate Medical Education requirements for training in this area during residency differ markedly for the two specialties. Our objectives were to determine (1) the extent to which neonatal resuscitation training differs for pediatric and family medicine residents; (2) the extent to which general pediatricians and family physicians engage in newborn resuscitation in their practice; and (3) whether use of resuscitation skills differs between urban/suburban and rural providers. Methods We surveyed a national cohort of pediatricians and family physicians who obtained board certification between 2001 and 2005. Data were analyzed based on type of physician and setting of current practice. Results Survey response rate was 22% (382 of 1736). Compared with family medicine physicians, pediatricians received more neonatal resuscitation training during residency. Most members of both groups had attended no deliveries in the year prior to the survey (75% [111 of 148] versus 74% [114 of 154]). In their current practice, the groups were equally likely to have provided a newborn bag and mask ventilation, chest compressions, and resuscitation medications. Pediatricians were more likely than family physicians to have attempted to either intubate a newborn (20% [28 of 148] versus 10% [16 of 153]; P = .0495) or insert umbilical catheters (15% [22 of 148] versus 5% [8 of 153]; P = .005). Regardless of specialty, rural physicians were much more likely to report that they attended deliveries (61% [41 of 67] versus 15% [36 of 234]; P < .001). Among rural pediatricians attending deliveries, 44% (7 of 16) reported feeling inadequately prepared for at least one delivery in the past year. Conclusions Few primary care pediatricians and family physicians provide newborn resuscitation after residency. For those who do attend deliveries, current training may provide insufficient preparation. Flexible, individualized residency curricula could target intensive resuscitation training to individuals who plan to practice in rural areas and/or attend deliveries after graduation.

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