The effect of neonatal resuscitation training program on apgar score as an outcome of the newborn; a hospital based study

Giriş
Neonatal Resuscitation Training Program (NRP) based on American Association of Pediatric (AAP) has been introduced to pediatric resident in Padjadjaran University since 1998, to standardize knowledge and skills in order to reduce neonatal morbidity and mortality and increase successful resuscitation. The 5-minute Apgar score is the index of successful neonatal resuscitation and immediate postnatal outcome.

Amaç
To evaluate the effect of NRP in Hasan Sadikin Hospital Bandung by examining Apgar score among the newborn.

Yöntem
His is a retrospective two times period design (before training: year 1997 as group I, and after training: year 2000 as group II). The data was taken from hospital medical record and we include only newborn with normal birth weight and with abnormal presentation. We compared these two groups to find improvement on 5-minute Apgar score among severe asphyxiatecl newborns (1 minute Apgar score: 0-3) and we analyzed the data with X2 test, using SPSS 10.0 computer program.

Bulgular

Group 1 had 84 subjects out of 1559 births, and group II had 107 subjects out of 2680 births. According to Apgar score, there was no significant difference in proportion of subjects between both groups (p> 0.1). From group I: there were 2 severe asphyxiated newborns and both of them showed improvement on 5-minute Apgar score (4-6). From group II: there were 7 severe asphyxiated newborns and 5-minute Apgar score are: 1 (14,3%) had low score (0-3), 3 (42,9%) had moderate score (4-6), and 3 (42,9%) had high score (7-10). Ali moderate asphyxiated subjects (group I, n=23; group II, n=22) improved on 5-minute Apgar score (7-10). These data showed no significant improvement on 5-minute Apgar score among severe asphyxiated subjects between both groups.

Sonuç
This study showed that training of NRP in our department did not improve the outcome of neonatal resuscitation yet. Evaluation on NRP should also be done in the Hospital outside the teaching Hospital.