Bruno C J, Johnston L, Lee C, Bernstein P S, Goffman D
a Department of Pediatrics , Yale School of Medicine , New Haven , CT , USA.
b Department of Obstetrics & Gynecology and Women's Health , Columbia Presbyterian Medical Center , New York , NY , USA.
J Matern Fetal Neonatal Med. 2018 Apr;31(8):1035-1039. doi: 10.1080/14767058.2017.1306052. Epub 2017 Apr 3.
Our goal was to garner opinions regarding neonatal resuscitation training for obstetric physicians. We sought to evaluate obstacles to neonatal resuscitation training for obstetric physicians and possible solutions for implementation challenges.
We distributed a national survey via email to all neonatal-perinatal medicine fellowship directors and obstetrics & gynecology residency program directors in the United States. This survey was designed by a consensus method.
Ninety-eight (53%) obstetric and fifty-seven (51%) neonatal program directors responded to our surveys. Eighty-eight percent of neonatologists surveyed believe that obstetricians should be neonatal resuscitation program (NRP) certified. The majority of surveyed obstetricians (>89%) believe that obstetricians should have some neonatal resuscitation training. Eighty-six percent of obstetric residents have completed training in NRP, but only 19% of obstetric attendings are NRP certified. Major barriers to NRP training that were identified include time, lack of national requirement, lack of belief it is helpful, and cost.
Most obstetric attendings are not NRP certified, but the majority of respondents believe that obstetric providers should have some neonatal resuscitation training. Our study demonstrates that most respondents support a modified neonatal resuscitation course for obstetric physicians.
我们的目标是收集产科医生关于新生儿复苏培训的意见。我们试图评估产科医生进行新生儿复苏培训的障碍以及应对实施挑战的可能解决方案。
我们通过电子邮件向美国所有新生儿 - 围产医学 fellowship 主任和妇产科住院医师培训项目主任进行了全国性调查。该调查采用共识法设计。
九十八名（53%）产科医生和五十七名（51%）新生儿项目主任回复了我们的调查。88%接受调查的新生儿科医生认为产科医生应获得新生儿复苏项目（NRP）认证。大多数接受调查的产科医生（>89%）认为产科医生应接受一些新生儿复苏培训。86%的产科住院医师已完成 NRP 培训，但只有 19%的产科主治医师获得 NRP 认证。已确定的 NRP 培训主要障碍包括时间、缺乏国家要求、认为其无用以及成本。
大多数产科主治医师未获得 NRP 认证，但大多数受访者认为产科医疗人员应接受一些新生儿复苏培训。我们的研究表明，大多数受访者支持为产科医生开设经修改的新生儿复苏课程。
