In August 2023, St. Anne's Hospital launched a neonatal resuscitation training program. Two dedicated volunteers, who previously trained as emergency paramedics before pursuing studies in medicine and physiotherapy, collaborated with Mr. Bernard, a highly experienced and passionate anesthesia technician, to design comprehensive training sessions for both hospital staff and volunteers. While neonatal resuscitation might seem like a specialized skill to some, it is, unfortunately, a frequent necessity at St. Anne's Hospital. Many newborns require ventilation and, in some cases, circulatory support immediately after birth. Last year, the caesarean section rate at our hospital was approximately 43%. In Liuli, this translates to 43% of newborns being born under the influence of the anesthetic drug Ketanest. Ketanest is widely used globally as both an emergency and anesthetic drug because it not only alleviates pain but also provides sedation without compromising protective reflexes such as breathing, swallowing, or coughing. This is a significant advantage over other anesthetic agents, as it eliminates the need to secure the mother's airway or provide ventilation. However, a substantial dose of Ketanest is transferred to the child through the umbilical cord. Additionally, most caesarean sections are performed due to high-risk pregnancies with birth complications, resulting in newborns who are often very limp with sluggish breathing post-delivery. To combat infant mortality rates, it is crucial to conduct regular neonatal resuscitation training to ensure preparedness in emergency situations. Previously, staff had to travel a considerable distance to Mbinga for such training. With the introduction of a training manikin and the invaluable efforts of Mr. Bernard and the two volunteers, we can now offer these training sessions regularly right here at St. Anne's Hospital. To support ongoing learning and quick reference, a flowchart outlining the most critical steps in neonatal resuscitation will be prominently displayed in both the operating room and the delivery room.
EN 
DE