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1140 Effect of a Pilot Intervention on Setting Up Long-Term Mechanism of Neonatal Resuscitation Training in 4 Counties in China
  1. T Xu1,
  2. X Jin1,
  3. H Wang1,
  4. L Gong1,
  5. X Zheng2,
  6. G Yu3,
  7. G Xu4,
  8. P Zhang5
  1. 1National Center for Women and Children’s Health, China CDC, Beijing
  2. 2Shandong Provincial Health Bureau, Jinan
  3. 3Heilongjiang Provincial Health Bureau
  4. 4Heilongjiang Maternal and Child Health Care Center, Haerbin
  5. 5Shandong Maternal and Child Health Care Center, Jinan, China


Background and Aims Neonatal mortality is the leading cause of under-5 child deaths in China. The aim was to evaluate the effect of a pilot intervention on setting up long-term mechanism of neonatal resuscitation training in 4 counties in China.

Methods A neonatal resuscitation leading group was set up within each county level hospital to lead the in-hospital training, department coordination, resuscitation practices and cases audit. A random control survey was conducted in the intervention counties and 4 randomly selected control counties to evaluate the impact of the intervention. Indicators evaluated include knowledge and self-confidence score of health providers, in-hospital regulations, changes of asphyxia incidence and mortality.

Results Over 90% of intervention hospitals had carried out neonatal resuscitation related regulations requiring that trained paediatricians participate in case discussion of high-risk delivery and onsite resuscitation, while in control hospitals less than 55% had such requirements. The average knowledge score of health providers was significantly higher in the intervention counties than the control counties (9.19±1.18 VS 8.40±1.52). The average self-confidence score in the two groups were 57.33±2.50 and 54.09±8.19 respectively. The incidence of birth asphyxia (defined as Apgar score≤7) decreased from 8.83% to 5.99% in the intervention counties, and the intrapartum-related deaths in the delivery room decreased from 27.60 to 5.03 per 100,000. No significantly changes were found in the control counties.

Conclusions Setting up long-term mechanism of neonatal resuscitation training is an effective method to strengthen in-hospital training, build up capability for neonatal resuscitation and therefore, can decrease the incidence of neonatal asphyxia.

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