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Impact of education and training on neonatal resuscitation practices in 14 teaching hospitals in India

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Deorari, A. K., V. K. Paul, et al. (2001). "Impact of education and training on neonatal resuscitation practices in 14 teaching hospitals in India." Annals of Tropical Paediatrics 21(1): 29-33.

Objective: 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.

Methods: 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.

Results: 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).