Abstract
We describe the first prospective evaluation of the effects of an outreach education program on pre-transport stabilization of sick neonates born in community hospitals. The relationship between the adequacy of stabilization and the timing of participation in a perinatal outreach program was studied. Information regarding stabilization procedures done by referring hospital personnel prior to the arrival of our transport team was recorded and expressed as the percentage of appropriate actions. Highly significant improvement was seen in these percentage scores in the six-month period following outreach education compared to the 12 months immediately preceding the educational program (mean post-outreach score 81%, n=58 transports versus pre-outreach score 68%, n=40, p < .001). In contrast, no spontaneous improvement with time (i.e. without outreach education) was seen during the two years prior to the program (mean pre-outreach score A 64%, n=3t, pre-outreach score B 68%, n=10, non-significant). This study shows that neonatal outreach education improves the stabilization of neonates in community hospitals and implies a beneficial effect on neonatal outcome.
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