Impact of education and training on neonatal resuscitation practices in 14 teaching hospitals in India

Ann Trop Paediatr. 2001 Mar;21(1):29-33.


The impact of a neonatal resuscitation programme (NRP) on the incidence, management and outcome of birth asphyxia was evaluated in 14 teaching hospitals in India. Two faculty members from each institution attended a neonatal resuscitation certification course and afterwards trained staff in their respective hospitals. Each institution provided 3 months pre-intervention and 12 months post-intervention data. Introduction of the NRP significantly increased awareness and documentation of birth asphyxia, as judged by an increased incidence of asphyxia based on apnoea or gasping at 1 and 5 minutes (p < 0.001 and < 0.01, respectively). A significant shift towards more rational resuscitation practices was indicated by a decline in the use of chest compression and medication (p < 0.001 for each), and an increase in the use of bag and mask ventilation (p < 0.001). Although overall neonatal mortality did not decrease, asphyxia-related deaths declined significantly (p < 0.01).

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chi-Square Distribution
  • Developing Countries*
  • Education, Medical, Continuing
  • Fetal Hypoxia / mortality
  • Fetal Hypoxia / therapy*
  • Hospitals, Teaching
  • Humans
  • Incidence
  • India / epidemiology
  • Infant, Newborn
  • Intensive Care, Neonatal / methods*
  • Treatment Outcome