Implementation and evaluation of neonatal resuscitation training program in Xinjiang

Abstract

Objective To evaluate the effect of neonatal resuscitation training program from October 2004 to December 2012 in Xinjiang Uygur Autonomous Region and the necessity to establish a leading group within the hospital.Methods The neonatal resuscitation training program was carried out according to the protocol formulated based on the situation of Xinjiang.The incidence and mortality of neonatal asphyxia before and after the program in both of the whole region and of five pilot hospitals (two provincial hospitals,two municipal hospitals and one county level hospital) were compared with Chi-square test.Results The program covered 14 prefectures and 83 counties in Xinjiang,included 6750 persons.The incidence of neonatal asphyxia showed statistical difference between the year of 2004 and 2009,2010 and 2012,2004 and 2012 [5.93％(10 436/176 111) vs 3.39％(19 922/589 526),2.23％(7947/346 031) vs 2.65％(11 352/428 202),5.93％ vs 2.65％,x2=23.00,95.14,39.00,respectively,all P＜0.01].The mortalities of neonatal asphyxia from 2004 to 2012 were 3.21‰(565/176 111),3.99‰(773/193 698),4.33‰(944/218 201),4.00‰(911/ 227 693),3.85‰(1054/273 541) and 3.52‰(2074/589 526),respectively,which also showed a decreased tendency and had statistical differences between the year of 2004 and 2009,2004 and 2012 (x2 =212.99,312.77,all P＜0.01).The asphyxia incidence in provincial,municipal and county level hospitals before the training were 4.72％(269/5702),2.54％ (208/8193) and 1.45％(26/1793),respectively.After training,the figures changed to 4.51％(350/7755),1.72 ％ (233/13 526) and 0.92 ％ (18/1965) correspondingly.The incidence at municipal and county level hospital had statistical difference (x2=17.09 and 2.31,P＜0.01 and 0.05).There were no neonatal death was reported during resusitation.Conclusions The neonatal resuscitation program has made significant achievements in Xinjiang by decreasing the incidence and mortality of neonatal asphyxia effectively,and it is necessary to set up a leading group within the hospital. Key words: Asphyxia neonatorum ; Resuscitation ; In service training ; Evaluation studies