Neonatal resuscitation program activıties in Georgia - 3 years experience

Neonatal mortality rate, especially in early neonatal period has an increasing tenclency in Georgia. Education courses, with the duration 18-24 hour, on Neonatal resuscitation Program (AHA, APA) and common neonatal problem management were offered for the staff (among them neonatologists, obstetricians, midwifes, neonatal nurses) of maternity houses in various regions of Georgia (about 23 in 1999-2001). About 400 medical personal were trained. 2 national conferences on NRP were organized. Printed materials NRP Textbooks. Neonatal Transport guidelines and curriculum on common neonatal problems managenıent (either translated or original) were produced and disseminated. Printed materials for women education education (signs of danger, feeding of the pregnant women, impoprtance of medical supervision) was also worked out and disseminate.

Bulgular

Comparison of the amount of the survived patients after the resuscitation, rate of CNS and other complications in patients transferred in NICU, rate severe forms of bacterial infection, hypothermia were less in Trained maternity houses. The best dates were in maternity houses were the almost whole staff were trained. Even the implementation of new model is a difficult process but it proved the effectiveness comparing the statistical data. We conclude that implementation of the neonatal resuscitation in a complex with improvement of pregnant women care, medical supervision and women education will contribute reduction of the level of early neonatal mortality.

Anahtar Kelimeler

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