Noor Tooba, Raza Natasha, Haq Gulfishan
J Pak Med Assoc. 2014 Jul;64(7):856-9.
To evaluate the neonatal resuscitation competence of obstetrical trainees to assess the gap in knowledge and to determine training needs.
The cross-sectional study was conducted at the Department of Gynaecology and Obstetrics, Civil Hospital, Karachi, from January to March 2013 and comprised House Officers and Postgraduate trainees. A questionnaire was used to test the evaluation skills of different conditions and choice of appropriate action required during neonatal resuscitation. Data was collected and analysed through SPSS 17.0.
Of the 102 obstetrical trainees, 44 (43.1%) were House Officers and 58 (56.9%) were Postgraduate trainees with an overall mean age 25.69 +/- 2.3 years. Only 19 (18.6%) subjects cleared the test; 8 (42.1%) of them were House Officers and 11 (57.9%) were Postgraduate trainees. The result did not show any significant difference between those who had previous training or those who had performed neonatal resuscitation and those who had no such exposure. Majority, 92 (90.2%) considered their knowledge inadequate and 99 (97%) favoured that updated neonatal resuscitation programmes should be periodically arranged.
The study showed inadequate level of knowledge on neonatal resuscitation amongst obstetrical trainees. There is urgent need of formal training programmes which can make doctors skilful enough to face any adverse neonatal outcome professionally.
评估产科实习生的新生儿复苏能力，以评估知识差距并确定培训需求。
这项横断面研究于2013年1月至3月在卡拉奇市民医院妇产科进行，研究对象包括住院医师和研究生实习生。使用一份问卷来测试对不同情况的评估技能以及新生儿复苏期间所需适当行动的选择。通过SPSS 17.0收集和分析数据。
102名产科实习生中，44名（43.1%）是住院医师，58名（56.9%）是研究生实习生，总体平均年龄为25.69±2.3岁。只有19名（18.6%）受试者通过了测试；其中8名（42.1%）是住院医师，11名（57.9%）是研究生实习生。结果显示，之前接受过培训或进行过新生儿复苏的人与没有此类经历的人之间没有显著差异。大多数人，92名（90.2%）认为自己的知识不足，99名（97%）赞成应定期安排更新的新生儿复苏课程。
该研究表明产科实习生对新生儿复苏的知识水平不足。迫切需要正规的培训课程，以使医生有足够的技能专业地应对任何不良的新生儿结局。
