Abstract
Introduction: Neonatal resuscitation is an essential skill for neonatal care providers, especially for junior doctors who are often the first persons to attend to a newborn in need of resuscitation. The Neonatal Resuscitation Programme (NRP) training course offers a comprehensive and systematic training programme that has been adopted in 130 countries worldwide. Reports from different countries attributed the improvements in neonatal mortality and morbidity over the past two decades partly to the implementation of a systematic neonatal resuscitation training programme. The objective of this study was to evaluate the effectiveness of Neonatal Resuscitation Programme (NRP) in improving the knowledge of the paediatric resident doctors after completion of the course.Materials and Methods: This was a cross-sectional interventional study. The resident doctors who attended the NRP course were enrolled. The knowledge was evaluated by written 30-item questionnaire pre- and post- course score. Statistical analysis was done by descriptive statistics and paired t-test. p- value of <0.05 was taken as significant.Results: Data of 18 paediatric residents who attended the course were analyzed. There were four female and 14 male residents. Out of 18 residents, eight were from first year, seven were from second year and three were from third year. Their mean scores (out of 30) were 13.84 (SD 2.57) (pre-course) and 16.68 [(SD 3.15) (post-course) (p=0.001)].Conclusions: NRP course produced a modest gain in residents’ knowledge on neonatal resuscitation at the end of their course. NRP training has the potential to substantially improve knowledge of neonatal resuscitation.J Nepal Paediatr Soc 2015;35(1):18-23
Highlights
Neonatal resuscitation is an essential skill for neonatal care providers, especially for junior doctors who are often the first persons to attend to a newborn in need of resuscitation
As per the updated (October 2010) recommenda ons of Interna onal Liaison Commi ee on Resuscita on (ILCOR), Neonatal Resuscita on Program (NRP) of American Heart Associa on (AHA) and American Academy of Paediatrics (AAP), at least one trained person is required to be present during delivery 5
We evaluated the effec veness of the Neonatal Resuscitation Programme (NRP) course in improving the knowledge of paediatric resident doctors in BPKIHS
Summary
Neonatal resuscitation is an essential skill for neonatal care providers, especially for junior doctors who are often the first persons to attend to a newborn in need of resuscitation. The objective of this study was to evaluate the effectiveness of Neonatal Resuscitation Programme (NRP) in improving the knowledge of the paediatric resident doctors after completion of the course. In addi on to its contribu on to mortality, birth asphyxia can result in cogni ve impairment, epilepsy, cerebral palsy, and chronic diseases in later life[1] These numbers assume significance in Indian se ngs where neonatal mortality rate of 33 contributes to about 75% of the infant mortality rate of 47 as figures from 2010 reveal. As per the updated (October 2010) recommenda ons of Interna onal Liaison Commi ee on Resuscita on (ILCOR), Neonatal Resuscita on Program (NRP) of American Heart Associa on (AHA) and American Academy of Paediatrics (AAP), at least one trained person is required to be present during delivery 5. IAP in collabora on with Na onal Rural Health Mission of Government of India developed Basic Newborn Care and Resuscita on Programme (BNCRP) of Navjaat Shishu Suraksha Karyakram (NSSK) adopted from NRP guidelines for grass root workers as well as paediatricians[7]
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