Sign up for Neonatal Life Support courses
The Newborn life support of the Sri Lanka College of Paediatricians was launched in 2006. Dr Babu Kumararatne, Consultant Neonatologist in Wolverhampton Hospital in the UK, liaised with the Resuscitation Council of UK and organized a team to introduce Neonatal Life Support Course. This was held in September 2006 at the Lady Ridgeway Hospital for Children. Dr AberraBekele, Head of Childhood Programme of UNICEF took a keen interest in this project which was sponsored by the UNICEF. Dr AnomaJayathilake, Programme Coordinator for Maternal &New-born of the Family Health Bureau (FHB) of Ministry of Health, was responsible for liaising with UNICEF. The logistics were coordinated by Dr Srilal de Silva through the Perinatal Society of Sri Lanka.
Total of 80 participants were trained which included 65 consultant paediatricians. The objective was to provide clear instructions of resuscitation of babies at birth for doctors who were involved in neonatal resuscitation. This course provided back ground knowledge and skills for the management of new-born infants for the first 10-20 minutes in a competent manner. It concentrated on the effective teaching of practical airway management and ventilator support.
Background & Justification of the intervention
Globally birth asphyxia accounts for 30% of the neonatal deaths. In Sri Lanka out of total neonatal mortality, 11% of new-born deaths are due to asphyxia in 2007. Life time morbidity resulting from birth asphyxia is significant. There are hardly any multidisciplinary centres and very few professionals to cater to the need of the physically and mentally disabled. These children have an insecure future in a developing country like ours, due to financial constraints and minimal rehabilitation facilities.
Adding to the tragedy was the fact that there was effective and affordable ways to prevent these consequences of asphyxia that remained unexplored in the health system of developing countries. One such cost-effective preventive strategy was education of healthcare professionals on neonatal life support to minimise the incidence of birth asphyxia. In fact it is a feasible, cost-effective strategy in preventing birth asphyxia. This is the best way to curtail mortality and morbidity of asphyxiated births. (Ho NK et al)
NewbornLifeSupport (NLS) Courses have been developed in most of the developed countries and some of the developing countries to teach new evidence-based knowledge and skills of neonatal resuscitation. The NLS in the UK has been developed under the auspices of The Resuscitation Council of the UK to provide clear practical instructions in airway support and theoretical background to illustrate its importance in resuscitation of the new-born.
The Sri Lanka Paediatric Association which has been in existence since 1952 was smoothly transformed to the Sri Lanka College of Paediatricians in 1996. A very significant occurrence took place in the very first year of the newly inaugurated Sri Lanka College of Paediatricians. Virtually soon after his induction, the first President of the College, Dr. B.J.C.Perera, wrote a letter to the newspapers of Sri Lanka explaining the need for intensive training of doctors, nurses and midwives on resuscitation of asphyxiated newly born babies. He extolled the virtues of bag and mask ventilation and reiterated that the vast majority of asphyxiated babies could be resuscitated by bag and mask ventilation without any danger of long term undesirable sequelae. In that emotive letter, he appealed to the general public to contribute to a fund to buy training manikins for the College.
Several philanthropic members of the general public made donations to the College and two training manikins, one for bag and mask ventilation and the other for endotracheal intubation, were purchased by the College. Then the training programmes on neonatal resuscitation were started. Dr. B.J.C.Perera together with Dr. G.N.Lucas, formulated a very simple Training Manual as well. Many doctors, nurses and midwives from right round the island were trained in neonatal resuscitation. Following these programmes, there was a general feeling that the incidence of deaths and long-term neurological consequences following asphyxia of the new-borns were significantly reduced.
In 1991 the PGIM organised a two day workshop on Neonatal resuscitation, with the help of Dr Kumaratne from USA. The post graduate trainees were exposed to a well-structured training programme to get hands on training using manikins. Unfortunately there were no follow-up workshops.
As there were no sustainable programmes, the Sri Lanka College of Paediatricians realised that even though equipment was available, most of the delivery room staff was not competent to use it effectively. There was a severe lack of knowledge and skills of the principles of basic resuscitation. Most of the time doctors and nurses followed the seniors blindly without any knowledge of underlying patho-physiology of new-borns.
As the morbidity and mortality of birth asphyxia was quite significant the need for an organised Neonatal LifeSupport Course was strongly felt.
Neonatal Life Support course is a one day course conducted by Sri Lanka College of Paediatricians. The Course is held at the Lady Ridgeway Hospital for Children as wells as in the provincial centres. The College of Paediatricians has appointed central regional coordinators to ensure the uniformity of the course structure. The candidates are registered in the home page of the NLS / SLCP web site in order to receive the pre-course materials. The course consists of lectures, skills stations and scenarios. At the end of the course candidate will be assessed on airway skills and MCQ paper. Successful candidates will be issued a certificate which is valid for a period of 2 years.
The course manual can be downloaded from this web site. Hardcopy of the manual could be obtained from the SLCP office. It is mandatory that candidates should read the manual and submit on line MCQ paper before they attend the course. Doctors, nurses and midwives are undergoing the same NLS format but level of assessment is subjected to differ.
NLS course contents consists of three lectures (Physiology of newborn resuscitation, Resuscitation at birth, Pre-term delivery) and three skills Stations (Airway Management, Chest compressions, Vascular access).
How to register
Please click the sign for upcoming course in the “home: page. You will get on-line registration form in to your e-mail.
How to pay “Registration Fee”
Account Number – 0077318402
Account Name – “Sri Lanka College of Paediatricians, Skills Development”
Account Containing Branch – BOC Borella Branch
If you pay to a bank please keep the bank slip with you.
It is mandatory to provide it at the programme day.
These will be sent to your e-mail.
Manual can be collected from the SLCP Office
If you are unable to attend, you will have to pay an extra Rs 500.00 with your confirmation in the future courses.
Those who need accommodation please contact “Nagarodaya” on 0112667364 / 0112667366 (which is 200 meters from the Hospital) or “Cetrac” at Battaramulla Telephone number 0112784411. Accommodation is not included in the registration fee and should be paid by you separately.
A Public Car Park is available on the Baseline Road in front of the Welikada Prison.