Disu E A, Ferguson I C, Njokanma O F, Anga L A, Solarin A U, Olutekunbi A O, Ekure E N, Ezeaka V C, Esangbedo D O, Ogunlesi T A
Department of Pediatrics, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, .
Niger J Clin Pract. 2015 Jan-Feb;18(1):102-9. doi: 10.4103/1119-3077.146989.
Routine institutional training of doctors and nurses on newborn resuscitation have commenced, to improve the quality of resuscitation available to high-risk babies, in Nigeria, as a means of reducing newborn deaths in the country. Perinatal asphyxia contributes to 26% of newborn deaths in Nigeria. Perinatal asphyxia results when babies have difficulty establishing spontaneous respiration after birth.
Between 2008 and 2012, doctors and nurses drawn from all the geo-political zones were trained using the Neonatal Resuscitation Training (NRT) manual of the American Heart Association and the American Academy of Pediatrics. Questionnaire-based, cross-sectional surveys of doctor and nurse trainees from the six geo-political zones in Nigeria were conducted eight months after the primary training, to evaluate the post-training neonatal resuscitation activities.
Over the period of study, 357 doctors and 370 nurse/midwives were primarily trained in NRT. The overall ratio of step down training was 1:22 with 1:18 for doctors and 1:26 for nurses. In 2008, the delivery attendance rates were 11 per doctor and 9 per nurse/midwife. These rates increased to 30 per doctor and 47 per nurse in 2012. Between 88 and 94% of the doctors and between 72 and 93% of the nurses successfully used bag and mask to help babies breathe in the post-training period. The nurses used bag and mask for infant resuscitation more frequently, compared to doctors, with the rate fluctuating between two-to-one and four-to-one. Over the years, 87 to 94% of the doctors and 92 to 97% of the nurses/midwives trained other birth attendants.
The NRT in Nigeria is well-subscribed and the frequency of secondary training is good.
在尼日利亚，已开始对医生和护士进行新生儿复苏的常规机构培训，以提高高危婴儿可获得的复苏质量，作为降低该国新生儿死亡率的一种手段。围产期窒息导致尼日利亚26%的新生儿死亡。围产期窒息是指婴儿出生后难以建立自主呼吸。
2008年至2012年期间，从所有地理政治区域抽调的医生和护士使用美国心脏协会和美国儿科学会的新生儿复苏培训（NRT）手册进行培训。在初级培训八个月后，对尼日利亚六个地理政治区域的医生和护士学员进行了基于问卷的横断面调查，以评估培训后的新生儿复苏活动。
在研究期间，共有357名医生和370名护士/助产士接受了NRT初级培训。逐步培训的总体比例为1:22，医生为1:18，护士为1:26。2008年，每位医生的接生率为11例，每位护士/助产士为9例。2012年，这些比率分别增至每位医生30例和每位护士47例。在培训后阶段，88%至94%的医生和72%至93%的护士成功使用面罩气囊帮助婴儿呼吸。与医生相比，护士更频繁地使用面罩气囊进行婴儿复苏，比例在二比一至四比一之间波动。多年来，87%至94%的医生和92%至97%的护士/助产士培训了其他接生人员。
尼日利亚的NRT参与度高，二级培训频率良好。
