The effectiveness of the developed training “Resuscitation and stabilization of a full-term newborn in the delivery room” within the framework of the project to reduce infant mortality in the Republics of Kyrgyzstan, Tajikistan and Uzbekistan

Introduction. When carrying out a complex of resuscitation measures, it is extremely important to develop and hone practical skills and well-coordinated work of specialists in a team. The purpose of the study: to evaluate the effectiveness of the training program for providing intensive care to a full-term newborn baby in the delivery room according to the principles of the modified 5 “O” system based on modeling clinical situations among neonatologists, anesthesiologists-resuscitators of the republics of Tajikistan, Kyrgyzstan and Uzbekistan within the framework of the program: “Ways to reduce maternal and infant mortality”. Materials and methods. Among neonatologists, anesthesiologists and resuscitators of the republics of Tajikistan, Kyrgyzstan and Uzbekistan within the framework of the training course (36 hours) “Resuscitation and stabilization of newborns in the delivery room” based on the training program developed according to the principles of the modified 5 “O” system (training, practical skills development, processing and analysis of the results, awareness, feedback communication) at the beginning (PRE) and at the end of the training course (POST) testing, assessment of the sequence, correctness of the implementation of practical skills, a given scenario, debriefing and receiving feedback were carried out. Results. The results of testing before (PRE) and after (POST) training demonstrate an increase in the number of correct answers by 26% (PRE56±6.4 and POST 82±5.2%; p<0.05). In the initial assessment of the effectiveness of the practical part of the training (according to the checklist), students demonstrated a significant increase in performance –  by 36% (PRE42±5.6 and POST 78±3.8%; p<0.05). The time from birth to the start of respiratory support has practically decreased to the recommended 30 seconds (PRE67±12.4 s, POST 38±5.8 s; p<0.05), the time before the start of chest compression (PRE180±19.8 s, POST 104±12.4 s; p<0.05), time before administration of drugs PRE824±32.5 s, POST 362±21.6 s; p<0.05). Conclusion. Practice-oriented training programs and modeling of clinical situations in the provision of intensive care to a full-term newborn in the delivery room are safe, effective and useful for improving doctors’ teamwork skills.

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