The effect of a structured neonatal resuscitation program on delivery room practices.
Ryan, C A Clark, L M Malone, A Ahmed, S
Ryan, C A
Clark, L M
Malone, A
Ahmed, S
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Date
2012-02-03T15:13:49Z
Date Submitted
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Subject Mesh
Cardiopulmonary Resuscitation/*education/*methods/nursing
Delivery Rooms/organization & administration
Female
Humans
Infant, Newborn
Inservice Training/*organization & administration
Male
Medical Staff, Hospital/*education
Neonatal Nursing/*education
Nurse Midwives/*education
Nursing Staff, Hospital/*education
Pediatrics/*education
Physician's Practice Patterns/organization & administration
Program Evaluation
Prospective Studies
Delivery Rooms/organization & administration
Female
Humans
Infant, Newborn
Inservice Training/*organization & administration
Male
Medical Staff, Hospital/*education
Neonatal Nursing/*education
Nurse Midwives/*education
Nursing Staff, Hospital/*education
Pediatrics/*education
Physician's Practice Patterns/organization & administration
Program Evaluation
Prospective Studies
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Abstract
PURPOSE: This study evaluated the introduction of the Neonatal Resuscitation Program (NRP) of the American Academy of Pediatrics and the American Heart Association into the delivery room of an Irish maternity hospital. DESIGN: Prospective, controlled observational study of 51 deliveries before and 51 deliveries following the training of delivery room personnel in the NRP. SAMPLE: Participants were 33 nurse-midwives and 11 pediatric resident physicians. MAIN OUTCOME VARIABLE: Evaluation of postdelivery, newborn resuscitation practices. RESULTS: The introduction of the NRP was associated with significant improvements in delivery room preparation, in the evaluation and management of the newborn infant, and in thermal protection at birth. Although there was a trend to use more free-flow oxygen following the introduction of the NRP, this was not statistically significant. Bag and mask ventilation was also used more frequently following NRP training. However, there were no significant differences in the use of endotracheal intubation, chest compressions, and medications. Fifteen of the 51 infants became hypothermic prior to the introduction of the NRP; none of the infants developed hypothermia in the post-NRP part of the study.
Language
eng
Citation
ISSN
0730-0832 (Print)
0730-0832 (Linking)
0730-0832 (Linking)
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ISBN
DOI
PMID
10205469