PMID- 9550910
OWN - NLM
STAT- MEDLINE
DCOM- 19980508
LR  - 20220317
IS  - 0037-5675 (Print)
IS  - 0037-5675 (Linking)
VI  - 38
IP  - 11
DP  - 1997 Nov
TI  - The impact of the neonatal resuscitation program guidelines (NRPG) on the 
      neonatal mortality in a hospital in Zhuhai, China.
PG  - 485-7
AB  - AIM: The neonatal resuscitation program (NRPG) was first introduced in our 
      hospital to replace the traditional resuscitation (TR) program in 1993. TR has 
      been in existence in China for a long time. The implementation of NRPG was timely 
      in reducing the number of infant mortality and also to disseminate to the many 
      hospitals in China which are still practising TR. METHOD: A perspective study of 
      4,751 newborns with 366 asphyxiated babies in a period of 2 years was carried 
      out. A previous sample of 1,722 live births under the TR program was compared as 
      a controlled group statistically. RESULTS: From August 1993 to August 1995, when 
      NRPG was exclusively implemented in our hospital, only 16 newborns died within 7 
      days, out of 4,751 births (3.4%) with 2 deaths in the delivery room. Seventeen 
      newborns died within 7 days out of 1,722 births (9.9+) in the TR group, with 10 
      deaths in the delivery room. From the data shown, it can be clearly seen that 
      perinatal neonatal mortality rate was reduced almost 3 times after NRPG was 
      implemented (chi(2) = 10.54, p < 0.01). The follow-up results of 21 cases of 
      severe asphyxia at 2 months--1 year of age were normal except for one with 
      cerebral palsy. CONCLUSIONS: Our study showed that NRPG was indeed a very 
      effective and feasible technique during the delivery process in the reduction of 
      neonatal mortality. It is important to disseminate widely the knowledge and 
      technique of NRPG in places where TR is still being widely practiced especially 
      in developing countries.
FAU - Zhu, X Y
AU  - Zhu XY
AD  - Department of Neonatal Medicine Maternal and Child Health Hospital, Zhuhai City, 
      Guangdong, China.
FAU - Fang, H Q
AU  - Fang HQ
FAU - Zeng, S P
AU  - Zeng SP
FAU - Li, Y M
AU  - Li YM
FAU - Lin, H L
AU  - Lin HL
FAU - Shi, S Z
AU  - Shi SZ
LA  - eng
PT  - Journal Article
PL  - India
TA  - Singapore Med J
JT  - Singapore medical journal
JID - 0404516
SB  - IM
MH  - Asphyxia Neonatorum/*therapy
MH  - China/epidemiology
MH  - Guidelines as Topic
MH  - Humans
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - Information Services
MH  - Resuscitation/*standards
EDAT- 1998/04/29 00:00
MHDA- 1998/04/29 00:01
CRDT- 1998/04/29 00:00
PHST- 1998/04/29 00:00 [pubmed]
PHST- 1998/04/29 00:01 [medline]
PHST- 1998/04/29 00:00 [entrez]
PST - ppublish
SO  - Singapore Med J. 1997 Nov;38(11):485-7.