Document Type
Article
Publication Date
7-2026
Identifier
DOI: 10.1038/s41372-026-02734-6; PMCID: PMC13423805
Abstract
BACKGROUND: Neonates with congenital heart disease may require delivery room interventions beyond standard care. Because existing guidelines and educational programs rarely address these needs, we developed and evaluated targeted educational modules.
METHODS: Teams were randomized to online eLearning modules or directed readings. Individual pre-/post-knowledge scores were compared. Team performance was tested in simulated delivery scenarios including abruption, hypoplastic left heart syndrome, d-transposition of great arteries and congenital complete heart block.
RESULTS: 32 teams from 9 centers participated. The module group had improved knowledge scores (mean change 6% vs -0.3% e-Learning group, p = 0.01). Simulation performance was similar between groups except for hypoplastic left heart syndrome, where module groups scored lower, performing less bag-mask ventilation before intubation (82% vs 88%, p < 0.05).
CONCLUSION: eLearning modules were well-accepted and improved knowledge scores. Simulation performance was similar between groups. Ongoing educational development of CCHD DR adaptations and their incorporation within standard NRP is required.
Journal Title
Journal of perinatology : official journal of the California Perinatal Association
Volume
46
Issue
7
First Page
1136
Last Page
1145
MeSH Keywords
Humans; Infant, Newborn; Heart Defects, Congenital; Delivery Rooms; Female; Clinical Competence; Simulation Training; Computer-Assisted Instruction
PubMed ID
42209698
Keywords
Congenital Heart Defects; Delivery Rooms; Clinical Competence; Simulation Training; Computer-Assisted Instruction
Recommended Citation
Ali N, Law B, Thomas AR, et al. Development and implementation of educational modules on management of neonates with critical congenital heart disease in the delivery room (LEARN-CHD). J Perinatol. 2026;46(7):1136-1145. doi:10.1038/s41372-026-02734-6


Comments
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Publisher's Link: https://www.nature.com/articles/s41372-026-02734-6