Neonatal and Pediatric Intensive Care Unit, Mother and Child Department, San Pio Hospital, Benevento, Italy.
Obstetrics and Gynecology Unit, Mother and Child Department, San Pio Hospital, Benevento, Italy.
J Matern Fetal Neonatal Med. 2022 Nov;35(21):4060-4064. doi: 10.1080/14767058.2020.1846701. Epub 2020 Nov 17.
Approximately 10% of infants at birth require some assistance to breathe and 1% require vigorous resuscitation. As such, midwives need appropriate education and training on newborn life support (NLS) techniques.
We conducted a survey on Italian territory about the correlation between obstetric education and the management of the neonatal resuscitation in the delivery room. The study was led through a web survey based on 23 questions, given anonymously online through the Google Drive platform.
272 women aged from 19 to 59 years answered the questions (83% midwives and 17% midwifery students). 93% of them attended an NLS course before graduation, while only 57% have repeated it afterwards once or more times. The midwives working in hospitals with neonatal intensive care units (NICUs) experienced more involvement within the emergency neonatal resuscitation team than the others working in other kind of hospitals (hospital with NICU 79%, hospital without NICU 57%, private hospital 48%; < .001). Moreover, the midwives' years of experience at work are much more related to the prompt execution of primary resuscitation maneuvers (more than 10 years of experience 74%, 5-10 years 48%, less than 5 years 30%; < .001). Power analysis showed an adequate sample size of the study population.
In spite of NLS techniques are taught to near all midwives, only working in hospitals within a NICU and longer work experience are directly related with greater involvement of a midwife in the neonatal resuscitation team.
大约 10%的新生儿在出生时需要一些帮助来呼吸，1%的新生儿需要积极的复苏。因此，助产士需要接受适当的新生儿生命支持（NLS）技术教育和培训。
我们在意大利境内进行了一项关于产科教育与产房新生儿复苏管理之间相关性的调查。该研究通过一项基于 23 个问题的网络调查进行，通过 Google Drive 平台在线匿名进行。
272 名年龄在 19 至 59 岁的女性回答了这些问题（83%为助产士，17%为助产士学生）。93%的人在毕业前参加过 NLS 课程，但只有 57%的人在毕业后重复参加过一次或多次。在有新生儿重症监护病房（NICU）的医院工作的助产士比在其他类型医院工作的助产士更有可能参与新生儿急救团队（医院有 NICU 79%，医院无 NICU 57%，私立医院 48%；<0.001）。此外，助产士的工作经验与迅速执行初步复苏操作更为相关（超过 10 年经验 74%，5-10 年经验 48%，少于 5 年经验 30%；<0.001）。功效分析表明，研究人群的样本量足够大。
尽管几乎所有的助产士都接受过 NLS 技术的培训，但只有在 NICU 医院工作和更长的工作经验与助产士在新生儿复苏团队中的更大参与直接相关。
