791 - Multi-disciplinary Neonatal Resuscitation Training in Mongolia

Publication Number: 791.5686

Sarah M. Coors, Darkhan General Hospital, Houston, TX, United States; Chantsalnyam Shiiravjamts, Juntendo University of Nursing Facility, Darkhan, Darhan-Uul, Mongolia; Burenjargal Dorjsuren, Darkhan General Hospital, Darkhan, Darhan-Uul, Mongolia; Erdenetsetseg Erdenetsetseg, Darkhan General Hospital, Darkhan, Darhan-Uul, Mongolia; Bandi Monkhbat, Darkhan General hospital, Darkhan, Darhan-Uul, Mongolia

Background: In Mongolia, birth asphyxia is a leading cause of neonatal morbidity and mortality. Midwives and obstetricians learn HBB or ENC sporadically, while neonatal resuscitation training is limited to neonatologists, without interdisciplinary training, and without national standards.

Objective: We evaluated the effectiveness of the country’s first-ever multi-disciplinary delivery room simulation training course in altering knowledge and skill confidence.

Design/Methods: Lectures were modeled after the NRP 8th Edition and The S.T.A.B.L.E. Program 6th Edition, contextualized, and translated into Mongolian. A 3-day conference invited delivery room providers from nearby provinces to learn neonatal resuscitation, emphasizing team-based simulation practice. Pre- and post-tests of knowledge and role confidence were assessed.

Results: Of 49 attendees from 7 northern Mongolian provinces, pre- and post-tests were completed by 39 and 35, respectively. Attendees were 85% female; 49% were physicians (OB/GYN, Neonatal, Pediatric, Emergency, and Anesthesia), 23% midwives, and 26% nurses. The average age and years of experience in their current field was 38 +/-10 and 10 +/- 9 years, respectively. 38% did not know what resuscitation algorithm their hospital used. Knowledge scores improved from 42 +/- 25% to 78 +/- 26% (P=0.02). Resuscitation role self-confidence Likert scores improved from 3.03 +/- 0.07 to 4.5 +/- 0.9 (P < 0.001).

Conclusion(s): Simulation training improved participants’ knowledge, skills, and teamwork. Updated, multidisciplinary, and regular neonatal resuscitation training is needed throughout Mongolia to improve early neonatal outcomes.

Role Confidence
IMG_0697.jpegRole confidence using Likert scores before and after training. P<0.001.

Knowledge Scores
IMG_0695.jpegKnowledge Scores before and after training. P=0.02.

Mongolian Neonatal Resuscitation Algorithm
NRP 8th Edition Algorithm Final.pdfMongolian Neonatal Resuscitation Algorithm developed in 2024, taught in the training program. It was approved for use nationwide by the Mongolian Perinatal Society.