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Benefits of neonatal resuscitation training in high- and low-resource settings
Amy Mackay1, Waldemar A Carlo1
1The University of Alabama at Birmingham, Division of Neonatology, 1700 6th Avenue South, WIC, Suite 9380, Birmingham, AL, 35233, United States.
Insights
Preventable stillbirths and neonatal deaths are reduced by training healthcare providers in neonatal resuscitation and early newborn care. Educational programs improve provider skills and outcomes in both high- and low-resource settings.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Medical Education
Background:
- Globally, 1.9 million stillbirths and 2.3 million neonatal deaths occur annually, with many preventable.
- Low-resource settings bear a disproportionate burden of fresh stillbirths and neonatal deaths.
- Preterm birth and birth asphyxia are leading causes of neonatal mortality, especially within the first 24 hours.
Purpose of the Study:
- To review educational programs for neonatal resuscitation and early newborn care.
- To evaluate the impact of these programs on provider knowledge, skills, and neonatal outcomes.
- To discuss evidence, including limitations, and complementary interventions.
Main Methods:
- Literature review of educational programs in high- and low-resource settings.
- Analysis of evidence on program effects on provider competence and neonatal mortality.
- Examination of current complementary interventions.
Main Results:
- Training programs equip healthcare professionals to manage neonatal breathing difficulties and provide essential newborn care.
- Evidence indicates these programs improve provider knowledge and skills.
- Impact on reducing stillbirths and neonatal mortality is discussed, highlighting areas with strong and limited evidence.
Conclusions:
- Neonatal resuscitation and early care training are crucial for mitigating stillbirths and neonatal deaths.
- Effective educational programs are vital in both high- and low-resource settings.
- Further research into complementary interventions is ongoing.
Abstract:
Globally, around 1.9 million stillbirths occur each year, and around 2.3 million newborns die in the first 28 days after birth each year. Many of these deaths are preventable. The burden of stillbirths is likely even higher, as many are unreported. A disproportionate number of fresh stillbirths and neonatal deaths occur in low-resource settings. About 1 million neonatal deaths occur in the first 24 h after birth, with preterm birth and birth asphyxia/intrapartum-related death being the leading causes. For newborns who have difficulty establishing effective breathing at birth, prompt and effective resuscitation is usually lifesaving. Training providers in high- and low-resource settings have been instrumental in equipping healthcare professionals to support a newborn's breathing at birth and continued care in the first month after birth to mitigate stillbirths and neonatal deaths. This review focuses on educational programs in both high- and low-resource settings designed to enable providers to perform timely and effective neonatal resuscitation and early newborn care. The highest level of available evidence that investigates the effects of these programs on provider knowledge and skills, as well as neonatal mortality and stillbirths, will be discussed. Where strong evidence may be lacking, it will be reviewed. Current complementary interventions to neonatal resuscitation training programs that are being researched will be addressed.
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