Mathew Jisha, MBBS, DNB, Nagar Nandini, MBBS, DCH, DNB, Rajagopal Kumar Kishore, MBBS, DCH, MD, FIAP, DCH, MRCP, FRCPCH, FRCPI, FRACP, FNNF, MHCD

Abstract:

Objectives:

To evaluate the feedback of CPR training given to parents of preterm babies discharged from the NICU.

Methods:

This was a retrospective study conducted using a questionnaire sent to parents of preterm neonates admitted to a neonatal intensive care unit (NICU) from January 2007 to May 2020. All parents of newborns under 30 weeks gestation who survived to discharge were considered eligible. Parents were given CPR training on a manikin by a Neonatal resuscitation provider (NRP) certified doctor. Babies less than 30 weeks were sent home with a disposable bag and mask after the training of the parents. The responses thus received were analysed.

Results:

We analysed data from 60 responses (48.3%). 85% of the parents were given one-on-one training, the rest as classroom training. 68.3% felt that the addition of video demonstrations would be beneficial. 95% of parents said that the training helped increase their confidence in taking care of their babies. 78% felt it did not add to unnecessary parental anxiety. 5 babies received CPR at home, and all were told that the home CPR was successful on assessment at the hospital after the episode. 65% felt a repeat training would be helpful. All the parents educated about CPR opined that this training is essential for discharge preparation.

Conclusion:

We conclude that parental CPR training backed by video demonstration prior to the instructor-led session and followed by repeat training after 3 months is desirable in the holistic care of preterm babies post-discharge.

Keywords – Critical care, Patient education, Discharge policy

Key Message – Routine CPR education of parents of preterm neonates, backed by video demonstration and repetition of training after 3 months is desirable; it improves the confidence of parents and reduces anxiety in the care of their premature infants.

[READ FULL RETROSPECTIVE STUDY RESULTS IN ARTICLE AFTER REFERENCES]

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Acknowledgments

The authors would like to thank Dr. Girish S V for all his guidance and support and Dr. Shweta Sharma for her help in the initial data collection.

Disclosure Statements

Source(s) of support: Nil

Presentation at a meeting: Not applicable

Conflicting Interest (If present, give more details): Nil

Ethical clearance: Cleared by the Institutional Ethics Committee

Contributor details –

Dr. Mathew Jisha – Coordinated and collected data, drafted the initial manuscript, carried out the initial analysis, and reviewed the manuscript.

Dr. Nagar Nandini – Conceptualized and designed the study, supervised data collection, revised the manuscript, critically reviewed it, and was the guarantor for the study.

Dr. Rajagopal Kumar Kishore – Critically revised and reviewed the manuscript for important intellectual content.

All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.