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Does the Helping Babies Breathe Programme impact on neonatal resuscitation care practices? Results from systematic
Shyam Sundar Budhathoki1, Rejina Gurung2, Uwe Ewald3
1School of Public Health and Community Medicine, B.P Koirala Institute of Health Sciences, Dharan, Nepal.
Insights
The Helping Babies Breathe (HBB) program improved neonatal resuscitation, specifically increasing timely bag-and-mask ventilation within the Golden Minute. This study analyzed changes in resuscitation practices following HBB implementation.
Area of Science:
- Neonatal resuscitation
- Global child health
- Medical education and training
Background:
- Neonatal resuscitation is critical for infant survival.
- The Helping Babies Breathe (HBB) program aims to standardize and improve resuscitation practices globally.
- Assessing the impact of HBB on clinical practices is essential for evaluating its effectiveness.
Purpose of the Study:
- To examine changes in neonatal resuscitation practices after implementing the Helping Babies Breathe (HBB) program.
- To systematically review and meta-analyze the impact of HBB on specific resuscitation techniques.
Main Methods:
- Systematic review of studies reporting on HBB program impact.
- Inclusion of randomized controlled trials, quasi-experimental, and cross-sectional studies.
- Meta-analysis of extracted data on neonatal resuscitation practices using Review Manager.
Main Results:
- Four studies were included, comparing practices before and after HBB training.
- No significant changes were observed in the use of stimulation, suctioning, or overall bag-and-mask ventilation.
- A significant increase (over 2.5 times) was noted in the proportion of babies receiving bag-and-mask ventilation within the Golden Minute.
Conclusions:
- The HBB program effectively improves the timely initiation of bag-and-mask ventilation within the Golden Minute.
- Implementation of HBB training enhances critical resuscitation timing for newborns.
- Further research may explore long-term outcomes and broader practice changes.
Aim:
This paper examines the change in neonatal resuscitation practices after the implementation of the Helping Babies Breathe (HBB) programme.
Methods:
A systematic review was carried out on studies reporting the impact of HBB programmes among the literature found in Medline, POPLINE, LILACS, African Index Medicus, Cochrane, Web of Science and Index Medicus for the Eastern Mediterranean Region database. We selected clinical trials with randomised control, quasi-experimental and cross-sectional designs. We used a data extraction tool to extract information on intervention and outcome reporting. We carried out a meta-analysis of the extracted data on the neonatal resuscitation practices following HBB programme using Review Manager.
Results:
Four studies that reported on neonatal resuscitation practices before and after the implementation of the HBB programme were identified. The pooled results showed no changes in the use of stimulation (RR-0.54; 95% CI, 0.21-1.42), suctioning (RR-0.48; 95% CI, 0.18-1.27) and bag-and-mask ventilation (RR-0.93; 95% CI, 0.47-1.83) after HBB training. The proportion of babies receiving bag-and-mask ventilation within the Golden Minute of birth increased by more than 2.5 times (RR-2.67; 95% CI, 2.17-3.28).
Conclusion:
The bag-and-mask ventilation within Golden minute has improved following the HBB programme. Implementation of HBB training improves timely initiation of bag-and-mask ventilation within one minute of birth.
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