Effects of a course in neonatal resuscitation—evaluation of an educational intervention on the standard of neonatal resuscitation

• Published in: Resuscitation 2006-03, Vol.68 (3), p.385-389
• Main Authors: Singh, Jaideep, Santosh, Sanuja, Wyllie, J.P., Mellon, A.
• Format: Article
• Language: English
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis; Drug Utilization - trends; Education; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; England - epidemiology; European Resuscitation Council; Humans; Hypothermia - epidemiology; Incidence; Infant, Newborn; Inservice Training; Intensive care medicine; Intensive Care Units, Neonatal; Intubation, Intratracheal - utilization; Masks; Medical sciences; Midwifery - education; Naloxone - therapeutic use; Narcotic Antagonists - therapeutic use; Neonatal resuscitation; Patient Admission; Positive-Pressure Respiration - instrumentation; Positive-Pressure Respiration - utilization; Resuscitation - education; Retrospective Studies; Transfusions. Complications. Transfusion reactions. Cell and gene therapy
• ISSN: 0300-9572; 1873-1570
• DOI: 10.1016/j.resuscitation.2005.07.012

Appropriate assessment and resuscitation is an important part of neonatal care provided during the first minutes of life. Midwifery and junior medical staff are often in the frontline of neonatal resuscitation. Appropriate education and training of midwifery staff is therefore essential if the standard of care delivered to babies in the delivery suite is to be improved and maintained. Evaluation of any such educational interventions is necessary to assess their effectiveness. To assess the effect of a course in neonatal resuscitation introduced in 1995 aimed at midwifery staff, on the standard of care provided to babies immediately after birth. Prior to this, training in neonatal resuscitation was largely theoretical. Naturalistic design observational study conducted in a maternity unit with a tertiary neonatal intensive care unit in the North of England. We compared two groups of babies born before and after the course was introduced. Use of naloxone in the delivery suite and appropriateness of its use, and temperature on admission to neonatal intensive care unit were used as proxy markers for standard of care and compared in the two groups. We also looked at the use of mask intermittent positive pressure ventilation (IPPV) and tracheal intubation in the delivery suite. Use of naloxone fell dramatically from 13.2% of all babies born in 1994 to 0.5% in 2003. Inappropriate use of naloxone before other resuscitation measures were initiated declined from 75% of babies given naloxone in 1994 to 10% in 2003. The incidence of hypothermia (