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Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality.

Mohan Pammi1, Eugene M Dempsey, C Anthony Ryan

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Standardised formal neonatal resuscitation training (SFNRT) in low- and middle-income countries effectively reduces early neonatal mortality. However, its impact on birth asphyxia and neurodevelopmental outcomes requires further investigation.

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Area of Science:

  • Neonatal Medicine
  • Medical Education
  • Public Health

Background:

  • Standardised formal neonatal resuscitation training (SFNRT) programs consume significant healthcare resources.
  • The effectiveness of these SFNRT programs has not been conclusively established.

Purpose of the Study:

  • To evaluate the impact of SFNRT programs on neonatal mortality and morbidity.
  • To assess the effect of SFNRT on knowledge acquisition, skill retention, teamwork, and resuscitation behavior.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (CENTRAL, MEDLINE, EMBASE, CINAHL, Web of Science) and trial registries.
  • Included were randomized or quasi-randomized trials reporting on specified outcomes related to neonatal resuscitation training.
  • Data were analyzed in April 2015, focusing on mortality, morbidity, and behavioral outcomes.

Main Results:

  • SFNRT in low- and middle-income countries demonstrated a significant reduction in early neonatal mortality (RR 0.85) and 28-day mortality (RR 0.55).
  • Trends suggested decreases in late neonatal and perinatal mortality, with no significant effect on fresh stillbirths.
  • Teamwork training with simulation improved teamwork behavior and reduced resuscitation duration.

Conclusions:

  • SFNRT in low- and middle-income countries is effective in reducing early neonatal mortality.
  • The effects of SFNRT on birth asphyxia and neurodevelopmental outcomes remain uncertain, though survivors show normal neurodevelopment.