Neonatal resuscitation guidelines - A survey among pediatricians attending a newborn conference in North Kerala
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 3
Abstract
Background: Meticulous understanding and adequate skills for prompt neonatal resuscitation by health-care personnel working in the labor, maternity, and newborn units is important. Various studies have identified areas of non-uniformity among pediatricians regarding neonatal resuscitation practices. Aim: The aim is to evaluate the knowledge among pediatricians regarding the current neonatal resuscitation guidelines and the practices they follow in their unit. Materials and Methods: A cross-sectional survey of 17 questions, based on guidelines of Neonatal Resuscitation Program (NRP) 2015 and Navjaat Shishu Suraksha Karyakram, was conducted using a questionnaire distributed to pediatricians attending a neonatology conference. The responses were noted and analyzed using SPSS. The relation of knowledge score with demographic profile and status of training was assessed. Results: The response rate was 66%. Majority (52%) of the participants were working in private hospitals. Neonatal intensive care unit with mechanical ventilation facilities was available for 60% of respondents. Nearly 40% were trained in neonatal resuscitation. About 85% reported correct knowledge regarding effective chest compressions. Nearly 50% reported the use of room air for bag and mask ventilation during resuscitation in babies more than or equal to 35 weeks. Tracheal suction was practiced by 54% in meconiumstained liquor, and 55% practiced delayed cord clamping for 30-60 s. Nearly 62% did not have oxygen blender in the resuscitation corner, whereas 33% had cardiac monitor. No significant association was found between the place of work and knowledge score (using Chi-square test for association, p=0.280). Designation of the delegate did not have a significant association with knowledge score (p=0.300). Knowledge score of delegates from teaching hospitals was not superior to those from the non-teaching hospitals. No significant association was found between knowledge score and training (p=0.999). Conclusions: Knowledge about neonatal resuscitative practices in pediatricians as well as infrastructural facilities needs to be improved with regular NRP training.
Authors and Affiliations
Dr Kavitha Pavithran, Ambili Susan Jacob, Binoo Diwakaran
Keywords
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