Feasibility of Implementing Resuscitation Training for Parents of At-risk Infants at Discharge (FIRST AID)
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Date
2025-01
Journal Title
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Publisher
Indian Academy of Pediatrics
Abstract
INTRODUCTION Neonatal intensive care unit (NICU) graduates are at risk of sudden death at home a?er discharge. Many of these deaths can be prevented if parents can iden?fy warning signs and provide immediate resuscita?on. OBJECTIVES The primary objec?ve of this study was to assess the feasibility of training parents of high-risk neonates in low- and middle-income countries (LMICs) to deliver infant resuscita?on effec?vely. The secondary objec?ves were to assess the parental anxiety and need for resuscita?on at the end of one month a?er discharge. METHODS This prospec?ve study was conducted in a ter?ary care teaching hospital. A?er consent, parents of infants <34 weeks gesta?on, weighing < 1500 grams at birth, or with neurological abnormali?es at discharge were trained in a modified version of basic newborn resuscita?on using a low-fidelity mannequin and self-infla?ng bag by a trained neonatal fellow. Resuscita?on skills were evaluated using a post-training assessment score sheet. A total score of 75% with four mandatory steps was considered pass; the parent was re- trained un?l they passed the evalua?on. Anxiety levels of the parent were assessed one month a?er discharge using the General Anxiety Disorder 7 (GAD 7) scale, and the need for resuscita?on was documented. RESULT Between June 2020 to July 2021, a total of 91 parents of high-risk newborns were trained in infant resuscita?on. The mean gesta?onal age and birth weight of neonates were 30 (2) weeks and 1315 (349) grams, respec?vely. 80% of the trained parents passed on the first a?empt, and 18% passed on the second a?empt. The mean (SD) ?me required to train each parent was 22 (4) minutes. One-month post-discharge, one mother reported mild anxiety, and skills were used to resuscitate one infant. CONCLUSION Parents of high-risk neonates at LMICs can be trained to deliver effec?ve cardiopulmonary resuscita?on before discharge using low-fidelity simulators without increasing parental anxiety.
Description
Keywords
Cardiopulmonary Resuscitation, Newborn, Preterm, Very Low Birth weight
Citation
A Nalina, A Shashidhar, Bhatia Aril, Bisanalli Shridevi, PN Suman Rao . Feasibility of Implementing Resuscitation Training for Parents of At-risk Infants at Discharge (FIRST AID). Indian Pediatrics. 2025 Jan; 62(1): 21-26