BACKGROUND:
Neonatal resuscitation is critical for ensuring newborn survival, and the knowledge and skills of healthcare professionals performing this intervention directly impact neonatal outcomes.

OBJECTIVES:
This study aimed to assess the knowledge levels of midwives who had previously received Neonatal Resuscitation Program (NRP) certification and to evaluate the effectiveness of a video-based instructional design focused on frequently encountered topics in neonatal resuscitation.

METHODS:
This quasi-experimental study utilized a single-group pretest–posttest design. A total of 115 midwives from two public hospitals and one training and research hospital participated, with most working in delivery rooms. Data were collected using a researcher-developed "Neonatal Resuscitation Practices Pretest and Posttest Form." Knowledge levels before and immediately after training were compared. Descriptive statistics summarized participant characteristics, while the Kruskal-Wallis test was used for group comparisons and the Wilcoxon Signed Ranks test assessed pretest–posttest differences.

RESULTS:
The median participant age was 31 years, with a median of 9 years of professional experience and 3 years in their current unit. Most participants worked in delivery rooms (79.1%). The median year of NRP certification was 2018; 16.5% were certified in 2011 or earlier, 19.1% between 2012–2016, and 64.3% in 2017 or later. Only one had received a certification update post-2017. The median pretest score was 56 (range: 20–96), and the posttest score was 92 (range: 72–100), showing a significant increase (p < .001). While pretest scores varied significantly by certification year (p < .001), posttest scores did not (p > .001), suggesting consistent knowledge gains across participants.

CONCLUSIONS:
Video-based training significantly improved NRP knowledge levels. Regular updates and the use of video-supported, practice-oriented training are recommended to maintain competence in neonatal resuscitation among birth care providers. The authors declare no conflicts of interest.

KEY MESSAGE:
Neonatal Resuscitation, Midwives, Video-Based Education, Pretest–Posttest Design, Quasi-Experimental Study, Continuing Education Education - clinical skills (+Three-minute presentation competition)