Muneer Ayesha, Bari Attia, Haider Arslan, Ali Agha Shabbir
Dr. Ayesha Muneer, F.C.P.S. Assistant Professor of Pediatric Medicine , The Lahore General Hospital, Lahore, Pakistan.
Dr. Attia Bari, MCPS, DCH, F.C.P.S, MHPE. Associate Professor, Pediatric Medicine, The Children's Hospital Lahore.
Pak J Med Sci. 2019;35(3):775-779. doi: 10.12669/pjms.35.3.987.
To analyze the knowledge of the doctors dealing with pediatric patients about neonatal resuscitation.
This was a cross sectional study conducted at The Lahore General Hospital over one year. Total 137 doctors related to pediatrics with different job descriptions were enrolled and requested to fill a questionnaire proforma regarding their knowledge about basic equipment required and about neonatal resuscitation steps. Data was entered and analyzed using SPSS 20.
Out of 137 participants, majority (71%) had >2 years of experience in pediatrics and 52.5% had higher postgraduate qualification. Neonatal resuscitation workshop was attended by 57% doctors. In resuscitation of newborns at the time of delivery, resuscitating doctors were assisted by nurse in 50%, by junior doctor in 35%, paramedic staff 11% and it was done by single doctor in 4% cases. Oxygen (central or O cylinder) and warmer facilities were available in 90% and 82% of health facilities respectively. Majority (86%) of participants were of view that every neonate must be attended at birth. Not a single doctor followed all the standard steps of neonatal resuscitation although 90% had knowledge about resuscitation equipment and common resuscitation drugs.
Pediatric health care professionals had knowledge about neonatal resuscitation but there are gaps in the practical application. There is a strong need of frequent neonatal resuscitation workshops for improving neonatal outcomes.
分析处理儿科患者的医生关于新生儿复苏的知识。
这是一项在拉合尔综合医院进行了一年的横断面研究。总共招募了137名具有不同工作描述的儿科相关医生，并要求他们填写一份关于所需基本设备和新生儿复苏步骤知识的问卷表格。数据使用SPSS 20录入和分析。
在137名参与者中，大多数（71%）有超过2年的儿科工作经验，52.5%拥有更高的研究生学历。57%的医生参加过新生儿复苏工作坊。在分娩时新生儿复苏过程中，50%的情况有护士协助复苏医生，35%有初级医生协助，11%有护理人员协助，4%的情况由单个医生完成。分别有90%和82%的医疗机构有氧气（中心供氧或氧气瓶）和保暖设施。大多数（86%）参与者认为每个新生儿出生时都必须得到照料。尽管90%的医生了解复苏设备和常用复苏药物，但没有一个医生遵循所有新生儿复苏的标准步骤。
儿科医疗保健专业人员了解新生儿复苏知识，但在实际应用中存在差距。迫切需要经常举办新生儿复苏工作坊以改善新生儿结局。
