Document Detail

The effect of a structured neonatal resuscitation program on delivery room practices.
MedLine Citation:
PMID:  10205469     Owner:  NLM     Status:  MEDLINE    
PURPOSE: This study evaluated the introduction of the Neonatal Resuscitation Program (NRP) of the American Academy of Pediatrics and the American Heart Association into the delivery room of an Irish maternity hospital. DESIGN: Prospective, controlled observational study of 51 deliveries before and 51 deliveries following the training of delivery room personnel in the NRP. SAMPLE: Participants were 33 nurse-midwives and 11 pediatric resident physicians. MAIN OUTCOME VARIABLE: Evaluation of postdelivery, newborn resuscitation practices. RESULTS: The introduction of the NRP was associated with significant improvements in delivery room preparation, in the evaluation and management of the newborn infant, and in thermal protection at birth. Although there was a trend to use more free-flow oxygen following the introduction of the NRP, this was not statistically significant. Bag and mask ventilation was also used more frequently following NRP training. However, there were no significant differences in the use of endotracheal intubation, chest compressions, and medications. Fifteen of the 51 infants became hypothermic prior to the introduction of the NRP; none of the infants developed hypothermia in the post-NRP part of the study.
C A Ryan; L M Clark; A Malone; S Ahmed
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neonatal network : NN     Volume:  18     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-04-29     Completed Date:  1999-04-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  25-30     Citation Subset:  N    
Department of Paediatrics and Child Health, Cork University Hospital, Wilton, Ireland.
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MeSH Terms
Cardiopulmonary Resuscitation / education*,  methods*,  nursing
Delivery Rooms / organization & administration
Infant, Newborn
Inservice Training / organization & administration*
Medical Staff, Hospital / education*
Neonatal Nursing / education*
Nurse Midwives / education*
Nursing Staff, Hospital / education*
Pediatrics / education*
Physician's Practice Patterns / organization & administration
Program Evaluation
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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