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    The effect of a structured neonatal resuscitation program on delivery room practices.

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    Authors
    Ryan, C A
    Clark, L M
    Malone, A
    Ahmed, S
    Affiliation
    Department of Paediatrics and Child Health, Cork University Hospital, Wilton,, Ireland.
    Issue Date
    2012-02-03T15:13:49Z
    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
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    Citation
    Neonatal Netw. 1999 Feb;18(1):25-30.
    Journal
    Neonatal network : NN
    URI
    http://hdl.handle.net/10147/209159
    PubMed ID
    10205469
    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
    ISSN
    0730-0832 (Print)
    0730-0832 (Linking)
    Collections
    Cork University Hospital

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