Neonatal Resuscitation and Delivery Room Care: A Changing Global Landscape.

Document Type

Article

Publication Date

9-1-2024

Identifier

DOI: 10.1542/neo.25-9-e551

Abstract

With 98% of neonatal deaths occurring in low- and middle-income countries (LMICs), leading health organizations continue to focus on global reduction of neonatal mortality. The presence of a skilled clinician at delivery has been shown to decrease mortality. However, there remain significant barriers to training and maintaining clinician skills and ensuring that facility-specific resources are consistently available to deliver the most essential, evidence-based newborn care. The dynamic nature of resource availability poses an additional challenge for essential newborn care educators in LMICs. With increasing access to advanced neonatal resuscitation interventions (ie, airway devices, code medications, umbilical line placement), the international health-care community is tasked to consider how to best implement these practices safely and effectively in lower-resourced settings. Current educational training programs do not provide specific instructions on how to scale these advanced neonatal resuscitation training components to match available materials, staff proficiency, and system infrastructure. Individual facilities are often faced with adapting content for their local context and capabilities. In this review, we discuss considerations surrounding curriculum adaptation to meet the needs of a rapidly changing landscape of resource availability in LMICs to ensure safety, equity, scalability, and sustainability.

Journal Title

Neoreviews

Volume

25

Issue

9

First Page

551

Last Page

566

MeSH Keywords

Humans; Resuscitation; Infant, Newborn; Delivery Rooms; Developing Countries

Keywords

Resuscitation; Delivery Rooms; Developing Countries

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