1140 Effect of a Pilot Intervention on Setting Up Long-Term Mechanism of Neonatal Resuscitation Training in 4 Counties in China. (October 2012)
- Record Type:
- Journal Article
- Title:
- 1140 Effect of a Pilot Intervention on Setting Up Long-Term Mechanism of Neonatal Resuscitation Training in 4 Counties in China. (October 2012)
- Main Title:
- 1140 Effect of a Pilot Intervention on Setting Up Long-Term Mechanism of Neonatal Resuscitation Training in 4 Counties in China
- Authors:
- Xu, T
Jin, X
Wang, H
Gong, L
Zheng, X
Yu, G
Xu, G
Zhang, P - Abstract:
- Abstract : Background and Aims: Neonatal mortality is the leading cause of under-5 child deaths in China. The aim was to evaluate the effect of a pilot intervention on setting up long-term mechanism of neonatal resuscitation training in 4 counties in China. Methods: A neonatal resuscitation leading group was set up within each county level hospital to lead the in-hospital training, department coordination, resuscitation practices and cases audit. A random control survey was conducted in the intervention counties and 4 randomly selected control counties to evaluate the impact of the intervention. Indicators evaluated include knowledge and self-confidence score of health providers, in-hospital regulations, changes of asphyxia incidence and mortality. Results: Over 90% of intervention hospitals had carried out neonatal resuscitation related regulations requiring that trained paediatricians participate in case discussion of high-risk delivery and onsite resuscitation, while in control hospitals less than 55% had such requirements. The average knowledge score of health providers was significantly higher in the intervention counties than the control counties (9.19±1.18 VS 8.40±1.52). The average self-confidence score in the two groups were 57.33±2.50 and 54.09±8.19 respectively. The incidence of birth asphyxia (defined as Apgar score≤7) decreased from 8.83% to 5.99% in the intervention counties, and the intrapartum-related deaths in the delivery room decreased from 27.60 to 5.03Abstract : Background and Aims: Neonatal mortality is the leading cause of under-5 child deaths in China. The aim was to evaluate the effect of a pilot intervention on setting up long-term mechanism of neonatal resuscitation training in 4 counties in China. Methods: A neonatal resuscitation leading group was set up within each county level hospital to lead the in-hospital training, department coordination, resuscitation practices and cases audit. A random control survey was conducted in the intervention counties and 4 randomly selected control counties to evaluate the impact of the intervention. Indicators evaluated include knowledge and self-confidence score of health providers, in-hospital regulations, changes of asphyxia incidence and mortality. Results: Over 90% of intervention hospitals had carried out neonatal resuscitation related regulations requiring that trained paediatricians participate in case discussion of high-risk delivery and onsite resuscitation, while in control hospitals less than 55% had such requirements. The average knowledge score of health providers was significantly higher in the intervention counties than the control counties (9.19±1.18 VS 8.40±1.52). The average self-confidence score in the two groups were 57.33±2.50 and 54.09±8.19 respectively. The incidence of birth asphyxia (defined as Apgar score≤7) decreased from 8.83% to 5.99% in the intervention counties, and the intrapartum-related deaths in the delivery room decreased from 27.60 to 5.03 per 100, 000. No significantly changes were found in the control counties. Conclusions: Setting up long-term mechanism of neonatal resuscitation training is an effective method to strengthen in-hospital training, build up capability for neonatal resuscitation and therefore, can decrease the incidence of neonatal asphyxia. … (more)
- Is Part Of:
- Archives of disease in childhood. Volume 97(2012)Supplement 2
- Journal:
- Archives of disease in childhood
- Issue:
- Volume 97(2012)Supplement 2
- Issue Display:
- Volume 97, Issue 2 (2012)
- Year:
- 2012
- Volume:
- 97
- Issue:
- 2
- Issue Sort Value:
- 2012-0097-0002-0000
- Page Start:
- A327
- Page End:
- A327
- Publication Date:
- 2012-10
- Subjects:
- Children -- Diseases -- Periodicals
Infants -- Diseases -- Periodicals
618.920005 - Journal URLs:
- http://adc.bmjjournals.com/ ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/archdischild-2012-302724.1140 ↗
- Languages:
- English
- ISSNs:
- 0003-9888
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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