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Updated: Feb 17, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Neonatal mortality and morbidity in the post-implementation period of a neonatal teaching program in provincial
S Schmidt1, S Bounnack2, T Hoehn1
1Department of Neonatology and Pediatric Intensive Care, Children's University Hospital, Heinrich-Heine University Duesseldorf, Moorenstraße 5, 40225 Duesseldorf, Germany.
Objectives:
Aim of this study was to analyze neonatal mortality and morbidity in the post-implementation period of a neonatal teaching program to examine a possible impact on neonatal outcomes.
Study Design:
This study is a retrospective data analysis of all neonatal patients treated in five provincial hospitals in Laos after implementation of a neonatal teaching program.
Methods:
A simulation-based teaching program aims to have positive impact on the theoretical and practical skill of hospital staff in the field of newborn care. A comparison between pre-implementation and post-implementation data of newborns admitted to provincial hospitals in Laos was used to quantify the effect of repetitive teaching on neonatal outcomes.
Results:
Neonatal mortality and morbidity as well as case fatality rates of infections and asphyxia decreased in the post-implementation period. In contrast, neonatal mortality rate as well as case fatality rate of prematurity increased. The total neonatal mortality rate increased in the post-implementation period.
Conclusions:
The pre-implementation and post-implementation data enable longitudinal comparisons between hospitals and highlight the differences between hospitals concerning neonatal mortality and morbidity in provincial hospitals in Laos. These data can serve as a basis for an individual adaption of the teaching program to the unique requirements of each single hospital.
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